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Sample records for peep miidla kalev

  1. Poliitikud avaldavad muret / Kalev Kallemets

    Index Scriptorium Estoniae

    Kallemets, Kalev, 1979-

    2002-01-01

    Reformierakonna noortekogu peasekretär Kalev Kallemets lubas tudengitele, et Reformierakonna noortekogu võtab erakonna juhatuse koosolekul tõsiselt arutlusele Riigikogu otsuse lugeda kuni 24-aastased tudengid toimetulekutoetuste arvestamisel oma vanemate ülalpeetavateks /vahendas Alo Lõhmus

  2. Professor Peep Veski meie meenutustes

    Index Scriptorium Estoniae

    2014-01-01

    Mälestusi Tartu Ülikooli Farmaatsia instituudi juhatajast Peep Veskist jagavad: Eve-Irene Lepist, Urve Paaver, Karin Kogermann, Kristian Semjonov, Jaak Koppel, Kristin Raudsepp, Imre Klebovich, Filiz Hincal, A. Atilla Hincal ja Elmar Arak

  3. Mark Kostabi soovib muuta inimesi õnnelikumaks / Kalev Mark Kostabi

    Index Scriptorium Estoniae

    Kostabi, Kalev Mark, 1960-

    2008-01-01

    Kalev Mark Kostabi oma sisekujunduslikest eelistustest, ameeriklaste ja itaallaste kodude sisekujunduse erinevustest, kunstist kui ruumikujunduse ühest osast, oma New Yorgi ja Rooma korterite kujundusest

  4. The Neopuff's PEEP valve is flow sensitive.

    LENUS (Irish Health Repository)

    Hawkes, Colin Patrick

    2012-01-31

    AIM: The current recommendation in setting up the Neopuff is to use a gas flow of 5-15 L\\/min. We investigated if the sensitivity of the positive end expiratory pressure (PEEP) valve varies at different flow rates within this range. METHODS: Five Neopuffs were set up to provide a PEEP of 5 cm H(2) O. The number of clockwise revolutions to complete occlusion of the PEEP valve and the mean and range of pressures at each quarter clockwise revolution were recorded at gas flow rates between 5 and 15 L\\/min. Results: At 5, 10 and 15 L\\/min, 0.5, 1.7 and 3.4 full clockwise rotations were required to completely occlude the PEEP valve, and pressures rose from 5 to 11.4, 18.4 and 21.5 cm H(2) O, respectively. At a flow rate of 5 L\\/min, half a rotation of the PEEP dial resulted in a rise in PEEP from 5 to 11.4cm H(2) O. At 10 L\\/min, half a rotation resulted in a rise from 5 to 7.7cm H(2) O, and at 15 L\\/min PEEP rose from 5 to 6.8cm H(2) O. CONCLUSION: Users of the Neopuff should be aware that the PEEP valve is more sensitive at lower flow rates and that half a rotation of the dial at 5 L\\/min gas flow can more than double the PEEP.

  5. Spordiseltsi "Kalev" õigusjärglus küsimärgi all / Tea Kurvits

    Index Scriptorium Estoniae

    Kurvits, Tea, 1950-

    2000-01-01

    Moskvas asutati 1944. aastal ametiühingute vabatahtlik spordiühing "Kalev". Eestis loodi 1901. aastal Tallinna Jalgrattasõitjate Selts "Kalev". Kelle järglane on praegune spordiselts "Kalev"? Ka spordiseltsi ajalugu käsitleva Ruudi Toomsalu raamatu "Möödunut meenutades" kirjastamisest

  6. Suhkur võib Kalev RECi aktsiad aastaiks külmutada / Kaisa Tahlfeld, Mariliis Pinn

    Index Scriptorium Estoniae

    Tahlfeld, Kaisa

    2008-01-01

    Tallinna halduskohus andis maksu- ja tolliametile õiguse blokeerida 40% AS-ile Kalev kuuluvatest AS-i Kalev Real Estate Company aktsiatest, et tagada kohustuste täitmine pärast laovaruvaidluse lõppu. Kommenteerib Ott Karolin. Lisa: Kalev REC

  7. The Neopuff's PEEP valve is flow sensitive.

    LENUS (Irish Health Repository)

    Hawkes, Colin Patrick

    2011-03-01

    The current recommendation in setting up the Neopuff is to use a gas flow of 5-15 L\\/min. We investigated if the sensitivity of the positive end expiratory pressure (PEEP) valve varies at different flow rates within this range.

  8. "Kalev" izbavilsja ot pishtshevõhh "dobavok" / Hilda Vall

    Index Scriptorium Estoniae

    Vall, Hilda

    2007-01-01

    Ärimees Oliver Kruuda teatas oma piimatööstuse Tere ja kondiitritööstuse Kalev müügist Eesti investeerimisfirmale Alta Capital Partners, põhjendades oma otsust sooviga edaspidi tegutseda kinnisvara ja meedia vallas

  9. Kunstnikuraamatud / Paul Kuimet, Dénes Kalev Farkas, Laura Kuusk ; intervjueerinud Laura Kuusk, Kristel Schwede

    Index Scriptorium Estoniae

    Kuimet, Paul, 1984-

    2016-01-01

    Paul Kuimet, Dénes Kalev Farkas ja Laura Kuusk räägivad, kuidas valmisid nende kunstnikuraamatud ja mis oli projekti tõukejõuks. Paul Kuimeti fotoraamat "In Vicinity", Dénes Kalev Farkasi raamatud "Evident in Advance" ja "Credo", Laura Kuuse raamat "Pop-up-book"

  10. Model-based PEEP optimisation in mechanical ventilation

    Directory of Open Access Journals (Sweden)

    Chiew Yeong Shiong

    2011-12-01

    Full Text Available Abstract Background Acute Respiratory Distress Syndrome (ARDS patients require mechanical ventilation (MV for breathing support. Patient-specific PEEP is encouraged for treating different patients but there is no well established method in optimal PEEP selection. Methods A study of 10 patients diagnosed with ALI/ARDS whom underwent recruitment manoeuvre is carried out. Airway pressure and flow data are used to identify patient-specific constant lung elastance (Elung and time-variant dynamic lung elastance (Edrs at each PEEP level (increments of 5cmH2O, for a single compartment linear lung model using integral-based methods. Optimal PEEP is estimated using Elung versus PEEP, Edrs-Pressure curve and Edrs Area at minimum elastance (maximum compliance and the inflection of the curves (diminishing return. Results are compared to clinically selected PEEP values. The trials and use of the data were approved by the New Zealand South Island Regional Ethics Committee. Results Median absolute percentage fitting error to the data when estimating time-variant Edrs is 0.9% (IQR = 0.5-2.4 and 5.6% [IQR: 1.8-11.3] when estimating constant Elung. Both Elung and Edrs decrease with PEEP to a minimum, before rising, and indicating potential over-inflation. Median Edrs over all patients across all PEEP values was 32.2 cmH2O/l [IQR: 26.1-46.6], reflecting the heterogeneity of ALI/ARDS patients, and their response to PEEP, that complicates standard approaches to PEEP selection. All Edrs-Pressure curves have a clear inflection point before minimum Edrs, making PEEP selection straightforward. Model-based selected PEEP using the proposed metrics were higher than clinically selected values in 7/10 cases. Conclusion Continuous monitoring of the patient-specific Elung and Edrs and minimally invasive PEEP titration provide a unique, patient-specific and physiologically relevant metric to optimize PEEP selection with minimal disruption of MV therapy.

  11. Assessment of Factors Related to Auto-PEEP.

    Science.gov (United States)

    Natalini, Giuseppe; Tuzzo, Daniele; Rosano, Antonio; Testa, Marco; Grazioli, Michele; Pennestrì, Vincenzo; Amodeo, Guido; Marsilia, Paolo F; Tinnirello, Andrea; Berruto, Francesco; Fiorillo, Marialinda; Filippini, Matteo; Peratoner, Alberto; Minelli, Cosetta; Bernardini, Achille

    2016-02-01

    Previous physiological studies have identified factors that are involved in auto-PEEP generation. In our study, we examined how much auto-PEEP is generated from factors that are involved in its development. One hundred eighty-six subjects undergoing controlled mechanical ventilation with persistent expiratory flow at the beginning of each inspiration were enrolled in the study. Volume-controlled continuous mandatory ventilation with PEEP of 0 cm H2O was applied while maintaining the ventilator setting as chosen by the attending physician. End-expiratory and end-inspiratory airway occlusion maneuvers were performed to calculate respiratory mechanics, and tidal flow limitation was assessed by a maneuver of manual compression of the abdomen. The variable with the strongest effect on auto-PEEP was flow limitation, which was associated with an increase of 2.4 cm H2O in auto-PEEP values. Moreover, auto-PEEP values were directly related to resistance of the respiratory system and body mass index and inversely related to expiratory time/time constant. Variables that were associated with the breathing pattern (tidal volume, frequency minute ventilation, and expiratory time) did not show any relationship with auto-PEEP values. The risk of auto-PEEP ≥5 cm H2O was increased by flow limitation (adjusted odds ratio 17; 95% CI: 6-56.2), expiratory time/time constant ratio 15 cm H2O/L s (3; 1.3-6.9), age >65 y (2.8; 1.2-6.5), and body mass index >26 kg/m(2) (2.6; 1.1-6.1). Flow limitation, expiratory time/time constant, resistance of the respiratory system, and obesity are the most important variables that affect auto-PEEP values. Frequency expiratory time, tidal volume, and minute ventilation were not independently associated with auto-PEEP. Therapeutic strategies aimed at reducing auto-PEEP and its adverse effects should be primarily oriented to the variables that mainly affect auto-PEEP values. Copyright © 2016 by Daedalus Enterprises.

  12. Peep Põldsamm lõi kampa Skype'i loojatega

    Index Scriptorium Estoniae

    2008-01-01

    Peep Põldsamm asus juhtima Modesat Communications OÜd, mille omanik on Skype'i kaasasutajatele kuuluv investeerimisfirma Ambient Sound Investments. Modesat plaanib saavutada modemitehnoloogia rahvusvahelisel turul viieprotsendilise turuosa. Vt. samas: Põldsamm: olen uute äride ülesehitaja

  13. Automatic detection of AutoPEEP during controlled mechanical ventilation

    Directory of Open Access Journals (Sweden)

    Nguyen Quang-Thang

    2012-06-01

    Full Text Available Abstract Background Dynamic hyperinflation, hereafter called AutoPEEP (auto-positive end expiratory pressure with some slight language abuse, is a frequent deleterious phenomenon in patients undergoing mechanical ventilation. Although not readily quantifiable, AutoPEEP can be recognized on the expiratory portion of the flow waveform. If expiratory flow does not return to zero before the next inspiration, AutoPEEP is present. This simple detection however requires the eye of an expert clinician at the patient’s bedside. An automatic detection of AutoPEEP should be helpful to optimize care. Methods In this paper, a platform for automatic detection of AutoPEEP based on the flow signal available on most of recent mechanical ventilators is introduced. The detection algorithms are developed on the basis of robust non-parametric hypothesis testings that require no prior information on the signal distribution. In particular, two detectors are proposed: one is based on SNT (Signal Norm Testing and the other is an extension of SNT in the sequential framework. The performance assessment was carried out on a respiratory system analog and ex-vivo on various retrospectively acquired patient curves. Results The experiment results have shown that the proposed algorithm provides relevant AutoPEEP detection on both simulated and real data. The analysis of clinical data has shown that the proposed detectors can be used to automatically detect AutoPEEP with an accuracy of 93% and a recall (sensitivity of 90%. Conclusions The proposed platform provides an automatic early detection of AutoPEEP. Such functionality can be integrated in the currently used mechanical ventilator for continuous monitoring of the patient-ventilator interface and, therefore, alleviate the clinician task.

  14. Tallinna Ülikool / Leif Kalev, Anneli Leinpere, Tiit Land, Alessandro Centonze, Hannes Palang, Liis Kelberg

    Index Scriptorium Estoniae

    2008-01-01

    Ülikooli ja seal õpetatavaid erialasid tutvustavad dotsent Leif Kalev, kunstimagistrant Anneli Leinpere, professor Tiit Land, välisüliõpilane Milanost Alessandro Centonze, vanemteadur Hannes Palang ning kirjaliku tõlke magistrant Liis Kelberg

  15. Kaks kuud Kalev SPA-s / kommenteerinud Julia Kurbat, Natalia Nazarenko-Kiivikas, Margit Lipstuhl

    Index Scriptorium Estoniae

    2012-01-01

    Kahe spordiharrastaja Kaur Sau ja Kadri Sõggeli seatud eesmärkidest 2012. aastal ja kehalisest arengust treenides kaks kuud mõnes Tallinna spordiklubis. Treeningutest Kalev Spa Hotel & Water Park'i nimekandvas spordi- ja vabaajakeskuses

  16. Peep Vain - the Best-known Training Guru in the Baltics = Peep Vain - Baltikumi tuntuim koolitusguru / Marit Sillavee

    Index Scriptorium Estoniae

    Sillavee, Marit

    2006-01-01

    Koolitusfirma Vain & Partnerid osaniku Peep Vainu karjäärist ja koolitajatööst. Vt. samas: Spiritual Trainer toTop Sportsmen = Tippsportlaste vaimutreener ; Lead Billing in Estonia's Highest-Grossing Documentary = Eesti edukaima dokfilmi peategelane

  17. Control of positive end-expiratory pressure (PEEP for small animal ventilators

    Directory of Open Access Journals (Sweden)

    Leão Nunes Marcelo V

    2010-07-01

    Full Text Available Abstract Background The positive end-expiratory pressure (PEEP for the mechanical ventilation of small animals is frequently obtained with water seals or by using ventilators developed for human use. An alternative mechanism is the use of an on-off expiratory valve closing at the moment when the alveolar pressure is equal to the target PEEP. In this paper, a novel PEEP controller (PEEP-new and the PEEP system of a commercial small-animal ventilator, both based on switching an on-off valve, are evaluated. Methods The proposed PEEP controller is a discrete integrator monitoring the error between the target PEEP and the airways opening pressure prior to the onset of an inspiratory cycle. In vitro as well as in vivo experiments with rats were carried out and the PEEP accuracy, settling time and under/overshoot were considered as a measure of performance. Results The commercial PEEP controller did not pass the tests since it ignores the airways resistive pressure drop, resulting in a PEEP 5 cmH2O greater than the target in most conditions. The PEEP-new presented steady-state errors smaller than 0.5 cmH2O, with settling times below 10 s and under/overshoot smaller than 2 cmH2O. Conclusion The PEEP-new presented acceptable performance, considering accuracy and temporal response. This novel PEEP generator may prove useful in many applications for small animal ventilators.

  18. Cardiorespiratory effects of balancing PEEP with intra-abdominal pressures during laparoscopic cholecystectomy.

    Science.gov (United States)

    Kundra, Pankaj; Subramani, Yamini; Ravishankar, M; Sistla, Sarath C; Nagappa, Mahesh; Sivashanmugam, T

    2014-06-01

    Applying appropriate positive end-expiratory pressure (PEEP) to corresponding intra-abdominal pressure (IAP) can improve gas exchange during capnoperitoneum without any hemodynamic effects. A total of 75 patients were randomly allocated to group 0PEEP (n=25), group 5PEEP (n=25), and group 10PEEP (n=25) according to the level of PEEP, in whom capnoperitoneum was created with IAP of 14, 8, and 14 mm Hg, respectively. Hemodynamic and respiratory parameters were recorded up to 30 minutes after capnoperitoneum. In 0PEEP group, mean end-tidal carbon dioxide demonstrated significant rise 2 minutes after capnoperitoneum and plateaued at about 15 minutes but remained at high level for up to 30 minutes when compared with the 5PEEP and 10PEEP groups (Phigher at 30 minutes when compared with 5PEEP (37.8±2.7 mm Hg) and 10PEEP (37.2±3.9 mm Hg) groups. The oxygenation was better preserved in 5PEEP and 10PEEP groups with significantly higher PaO2/Fio2 ratio. Heart rate, mean arterial pressure, and cardiac output remained stable throughout the study in all the 3 groups. Application of appropriate PEEP corresponding to the IAP helped maintain CO2 elimination and improved oxygenation without any hemodynamic disturbance in patients undergoing laparoscopic cholecystectomy.

  19. Peep Vain - koolitaja või vaid õhumüüja? / Siim Saidla

    Index Scriptorium Estoniae

    Saidla, Siim, 1981-

    2002-01-01

    Koolitusfirma Vain SMD juhatuse esimehest ja omanikust Peep Vainust räägivad tema koolitustel osalenud. Lisad: Peep Vainu CV; "Kui täna oleks 6. septembri hommik, siis teeksin teisiti" - katkendid Peep Vainu intervjuust iseendaga. Kommenteerivad Mare Pork ja Aune Past

  20. English for lawyers / Liina Soobik ; [preface: Peep Pruks

    Index Scriptorium Estoniae

    Soobik, Liina, 1955-

    2001-01-01

    Kasutatud tekstide autorid: Peep Pruks, Merit-Ene Ilja, Ilona Nurmela, Kristi Raba, Andreas Kangur, Raul Narits, Peeter Roosma, Kalle Merusk, Maret Altnurme, Jaan Ginter, Aare Tark, Norman Aas, Lasse Lehis, Hannes Veinla, Jaan Sootak, Eerik Kergandberg, Paul Varul, Jaanus Ots, Urve Liin, Irene Kull, Merle Muda, Gaabriel Tavits, Andres Vutt, Kadri Siibak, Ellen Ridaste, Heiki Pisuke, Andrus Siibak

  1. Effect of intraoperative PEEP application on colonic anastomoses healing: An experimental animal study.

    Science.gov (United States)

    Turkoglu, Mehmet; Bostancı, Erdal Birol; Bilgili, Hasan; Türkoğlu, Yıldız; Karadeniz, Ümit; Aydoğ, Gülden; Erçin, Uğur; Bilgihan, Ayşe; Özer, İlter; Akoğlu, Musa

    2015-07-27

    This study aimed to assess the effect of intraoperative PEEP intervention on the healing of colonic anastomoses in rabbits. Thirty-two New Zealand type male rabbits were divided into two groups of sixteen animals each. Following ventilation with tracheostomy, colonic resection and anastomosis were performed in both groups. While 10 cm H2O PEEP level was applied in Group I (PEEP), Group II (ZEEP) was ventilated without PEEP throughout the surgery. Half of the both PEEP and ZEEP group animals were killed on the third postoperative day, while the remaining half on the seventh. Anastomotic bursting pressures, the tissue concentrations in hydroxyproline, and histological assessments were performed. Besides, intraoperative oxygen saturation and postoperative arterial blood gas parameters were also compared. On the first postoperative day, both arterial oxygen tension (PO2) and oxygen saturation (SO2) in the PEEP group were significantly higher than in the ZEEP group. On the seventh postoperative day, the bursting pressures of the anastomoses were significantly higher in the PEEP group, however the hydroxyproline content was significantly lower in the PEEP group than that in the ZEEP group. At day 7, PEEP group was significantly associated with increased neoangiogenesis compared with the ZEEP group. The anastomotic healing process is positively influenced by the intraoperative PEEP application.

  2. Effects of peep on lung injury, pulmonary function, systemic circulation and mortality in animals with uninjured lungs-a systematic review

    NARCIS (Netherlands)

    Algera, Anna Geke; Pisani, Luigi; Chaves, Renato Carneiro de Freitas; Amorim, Thiago Chaves; Cherpanath, Thomas; Determann, Rogier; Dongelmans, Dave A.; Paulus, Frederique; Tuinman, Pieter Roel; Pelosi, Paolo; Gama de Abreu, Marcelo; Schultz, Marcus J.; Serpa Neto, Ary

    2018-01-01

    2O, in the 'high PEEP' or 'PEEP' arms, and in the 'low PEEP' or 'no PEEP' arms, respectively. Definitions used for lung injury were quite diverse, as were other outcome measures. The effects of PEEP, at any level, on lung injury was not straightforward, with some trials showing less injury with

  3. Mälestused minu elust / Ferdinand Johann Wiedemann ; tõlk. Kalev Jaago

    Index Scriptorium Estoniae

    Wiedemann, Ferdinand Johann

    2000-01-01

    Järg Sep/21;23;26;28;30 Oct/3;5;7;10;12;14 Ferdinand Johann Wiedemanni (1805-1887) mälestuste saksakeelne algkäsikiri aastast 1878 asub Eesti Ajaloomuuseumis Otto Greifenhageni fondis nr. 65, säilik 6. Kommentaar: Kalev Jaago

  4. Lugejate valik : Peep Vain on parim / Marko Liibak

    Index Scriptorium Estoniae

    Liibak, Marko

    2007-01-01

    Aripaev.ee ja ajaleht Äripäev korraldasid lugejate seas küsitluse, mille käigus valiti Eesti parimaks koolitajaks Vain & Partnerite omanik ning koolituskonsultant Peep Vain. Teisele kohale tuli koolitaja, juhtimiskonsultant ja nõustaja ning Tallinn Ülikooli kliinilise psühholoogia professor Mare Pork. Järgnesid Ülo Vihma, Indrek Saul, Tiit Valm, Mihkel Pärjamäe ning Alexander Kotchubei

  5. Hyperdynamic sepsis modifies a PEEP-mediated redistribution in organ blood flows

    International Nuclear Information System (INIS)

    Bersten, A.D.; Gnidec, A.A.; Rutledge, F.S.; Sibbald, W.J.

    1990-01-01

    Changes in organ blood flow (Q) produced by 20 cm H2O positive end-expiratory pressure (PEEP) were measured before and after the induction of hyperdynamic sepsis in nine unanesthetized sheep. During the baseline nonseptic study, PEEP was associated with a 9% fall in thermodilution-measured systemic Q, although arterial perfusing pressures were unaffected. Concurrently, microsphere-derived Q was maintained to the brain and heart, but fell to liver, spleen, pancreas, kidney, large intestine, and gastrocnemius. Twenty-four to 36 h after cecal ligation and perforation, a pre-PEEP septic study demonstrated an increase in all of the cardiac index (CI) and systemic O2 delivery when compared with the nonseptic study, whereas whole-body O2 extraction was depressed. Although PEEP depressed systemic Q during the septic study to a greater extent than during the nonseptic study (p less than 0.02), absolute organ Q fell only to pancreas, liver, and spleen. Relative to the simultaneous fall in the CI, Q to some splanchnic organs was not depressed by PEEP to the same magnitude in the septic as in the nonseptic study. When an infusion of Ringer's lactate subsequently restored systemic Q to pre-PEEP septic levels, individual flows that had been depressed by PEEP were not restored. Furthermore, Q-kidney continued to fall, such that the postfluid Q-kidney (-19%) was significantly less than was demonstrated in the pre-PEEP septic study. We postulate that differences noted in the distribution of organ Q between the nonseptic and hyperdynamic septic studies after the application of PEEP were secondary to the vasculopathy of sepsis and/or an alteration in the function of specific organ microcirculations. However, these data do not address whether the changes in organ Q distribution after a PEEP-mediated depression in systemic Q during sepsis significantly restricted tissue DO2

  6. Optimizing PEEP by Electrical Impedance Tomography in a Porcine Animal Model of ARDS.

    Science.gov (United States)

    Hochhausen, Nadine; Biener, Ingeborg; Rossaint, Rolf; Follmann, Andreas; Bleilevens, Christian; Braunschweig, Till; Leonhardt, Steffen; Czaplik, Michael

    2017-03-01

    Mechanical ventilation is necessary in diverse clinical circumstances. Especially in the context of ARDS, so-called protective ventilation strategies must be followed. It is already known that PEEP might enhance oxygenation in ARDS. However, determining the optimal PEEP settings in clinical routines is challenging. Electrical impedance tomography (EIT) is a promising technique with which to adjust ventilator settings. We investigated whether the combination of different EIT parameters, namely the global inhomogeneity and hyperdistension indices, may lead to a feasible and safe PEEP setting. ARDS was induced by a double-hit approach in 18 pigs weighing, on average, 34.8 ± 3.97 kg. First, a surfactant washout was conducted; second, the tidal volume was increased to 20 mL/kg body weight, triggering a ventilator-induced lung injury. Subsequently, pigs were randomized to either the EIT or control groups, followed by an observation time of 24 h. In the control group, PEEP was set according to the ARDS network table. In the EIT group, a PEEP trial was conducted to determine an appropriate PEEP. At defined time points, hemodynamic measures, ventilation parameters, and EIT recordings, as well as blood samples, were taken. After euthanization, lungs were removed for subsequent histopathological and cytological examination. The combination of PEEP and F IO 2 differed between groups, although respiratory compliance, gas exchange, and histopathological examinations, as well as hemodynamics, did not show any statistical differences between the EIT and control groups. However, in the control group, the PEEP/F IO 2 settings followed the given coupling; in the EIT group, divergent individual combinations of PEEP and F IO 2 ranges occurred. PEEP setting by EIT facilitates a more individual ventilation therapy. However, in our relatively short ARDS observation period of 24 h, no significant differences appeared in common clinical parameters compared with a control group. Copyright

  7. Double-lumen tubes and auto-PEEP during one-lung ventilation.

    Science.gov (United States)

    Spaeth, J; Ott, M; Karzai, W; Grimm, A; Wirth, S; Schumann, S; Loop, T

    2016-01-01

    Double-lumen tubes (DLT) are routinely used to enable one-lung-ventilation (OLV) during thoracic anaesthesia. The flow-dependent resistance of the DLT's bronchial limb may be high as a result of its narrow inner diameter and length, and thus potentially contribute to an unintended increase in positive end-expiratory pressure (auto-PEEP). We therefore studied the impact of adult sized DLTs on the dynamic auto-PEEP during OLV. In this prospective clinical study, dynamic auto-PEEP was determined in 72 patients undergoing thoracic surgery, with right- and left-sided DLTs of various sizes. During OLV, air trapping was provoked by increasing inspiration to expiration ratio from 1:2 to 2:1 (five steps). Based on measured flow rate, airway pressure (Paw) and bronchial pressure (Pbronch), the pressure gradient across the DLT (ΔPDLT) and the total auto-PEEP in the respiratory system (i.e. the lungs, the DLT and the ventilator circuit) were determined. Subsequently the DLT's share in total auto-PEEP was calculated. ΔPDLT was 2.3 (0.7) cm H2O over the entire breathing cycle. At the shortest expiratory time the mean total auto-PEEP was 2.9 (1.5) cm H2O (range 0-5.9 cm H2O). The DLT caused 27 to 31% of the total auto-PEEP. Size and side of the DLT's bronchial limb did not impact auto-PEEP significantly. Although the DLT contributes to the overall auto-PEEP, its contribution is small and independent of size and side of the DLT's bronchial limb. The choice of DLT does not influence the risk of auto-PEEP during OLV to a clinically relevant extent. DRKS00005648. © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Voyeuristi alla finestra: Peeping Tom, dalla leggenda al cinema

    Directory of Open Access Journals (Sweden)

    Laura Staiano

    2015-01-01

    Full Text Available This essay deals with voyeuristic attitudes and ʹscopic powerʹ, i.e. the power to gaze at forbidden things and people without being seen. Indeed, its object par excellence coincides with female nakedness, while its subject is an invisible masculinity, which takes delight in looking. The paper is based on a study of the Anglo-Saxon legend of Lady Godiva and it is strictly connected with the subject of my dissertation in progress – metaphorical and physical blindness in 18th century French literature (since several voyeurs got blind because of their instincts and desires. Lady Godiva’s voyeur, called Peeping Tom, is struck blind for having looked out of his window and seen the noblewoman riding naked. This legend has inspired many artists in different fields, and nowadays its heroine is very famous and venerated. In particular, this essay focuses on the relation between this legend and compulsive looking (or scopophilia in two renowned films, Rear Window by Alfred Hitchcock, and Peeping Tom by Michael Powell.

  9. Remo Holsmer: mees Kalevi pingi taga / Remo Holsmer ; interv. Peep Lillemägi

    Index Scriptorium Estoniae

    Holsmer, Remo, 1980-

    2009-01-01

    Reformierakonna Tallinna piirkonnajuht Remo Holsmer vastab küsimustele, mis puudutavad tema tööd Kalevi korvpalliklubi managerina, korvpalli taset Eestis, Kalevisse välismängijate leidmist, Tallinna Kalev-Tartu Rock vastasseisu ning suhteid Jaak Salumetsaga

  10. Peep Aaviksoo kukutas EMT-kesksus / Jaan Männik ; interv. Vallo Toomet

    Index Scriptorium Estoniae

    Männik, Jaan, 1945-

    2003-01-01

    EMT nõukogu esimees ja Eesti Telekomi juhatuse esimees Jaan Männik vastab küsimustele, mis on seotud Peep Aaviksoo lahkumisega Eesti Mobiiltelefoni juhi kohalt. Vt. samas: Aaviksoo selgitab lahkumise põhjusi. Peep Aaviksoo kiri. Kommenteerivad Radiolinja Eesti juhatuse esimees Sami Seppänen, Tele2 Eesti juhatuse esimees Üllar Jaaksoo, Ühispanga analüütik Sven Kunsing

  11. Valgas võtab maavanema ameti üle Kalev Härk / Maria-Elisa Rannajõe

    Index Scriptorium Estoniae

    Rannajõe, Maria-Elisa

    2007-01-01

    Valga maavanema kohusetäitjaks saab maavalitsuse arengu- ja planeeringuosakonna juhataja Kalev Härk, praegu maavanema kohuseid täitev Tõnis Lass läheb puhkusele. Valga maavanem Georg Trashanov on kriminaalmenetluse ajaks töökohalt kõrvaldatud

  12. Miljonitehing : Kalev müüdud - jumal tänatud, kõik murest lahti / Andres Reimer, Holger Roonemaa, Vallo Toomet

    Index Scriptorium Estoniae

    Reimer, Andres

    2007-01-01

    Kalevi ja Tere toiduainetööstusettevõtete müügist investeerimisfirmale Alta Capital Partners. Vt. samas: Alta Capital Partners; Holger Roonemaa, Kristjan Jõevere. Finantsinspektsioon: Kalev rikkus head tava

  13. Effect of PEEP, blood volume, and inspiratory hold maneuvers on venous return.

    Science.gov (United States)

    Berger, David; Moller, Per W; Weber, Alberto; Bloch, Andreas; Bloechlinger, Stefan; Haenggi, Matthias; Sondergaard, Soren; Jakob, Stephan M; Magder, Sheldon; Takala, Jukka

    2016-09-01

    According to Guyton's model of circulation, mean systemic filling pressure (MSFP), right atrial pressure (RAP), and resistance to venous return (RVR) determine venous return. MSFP has been estimated from inspiratory hold-induced changes in RAP and blood flow. We studied the effect of positive end-expiratory pressure (PEEP) and blood volume on venous return and MSFP in pigs. MSFP was measured by balloon occlusion of the right atrium (MSFPRAO), and the MSFP obtained via extrapolation of pressure-flow relationships with airway occlusion (MSFPinsp_hold) was extrapolated from RAP/pulmonary artery flow (QPA) relationships during inspiratory holds at PEEP 5 and 10 cmH2O, after bleeding, and in hypervolemia. MSFPRAO increased with PEEP [PEEP 5, 12.9 (SD 2.5) mmHg; PEEP 10, 14.0 (SD 2.6) mmHg, P = 0.002] without change in QPA [2.75 (SD 0.43) vs. 2.56 (SD 0.45) l/min, P = 0.094]. MSFPRAO decreased after bleeding and increased in hypervolemia [10.8 (SD 2.2) and 16.4 (SD 3.0) mmHg, respectively, P waterfall. Copyright © 2016 the American Physiological Society.

  14. Evaluation of lung and chest wall mechanics during anaesthesia using the PEEP-step method.

    Science.gov (United States)

    Persson, P; Stenqvist, O; Lundin, S

    2018-04-01

    Postoperative pulmonary complications are common. Between patients there are differences in lung and chest wall mechanics. Individualised mechanical ventilation based on measurement of transpulmonary pressures would be a step forward. A previously described method evaluates lung and chest wall mechanics from a change of ΔPEEP and calculation of change in end-expiratory lung volume (ΔEELV). The aim of the present study was to validate this PEEP-step method (PSM) during general anaesthesia by comparing it with the conventional method using oesophageal pressure (PES) measurements. In 24 lung healthy subjects (BMI 18.5-32), three different sizes of PEEP steps were performed during general anaesthesia and ΔEELVs were calculated. Transpulmonary driving pressure (ΔPL) for a tidal volume equal to each ΔEELV was measured using PES measurements and compared to ΔPEEP with limits of agreement and intraclass correlation coefficients (ICC). ΔPL calculated with both methods was compared with a Bland-Altman plot. Mean differences between ΔPEEP and ΔPL were mechanical properties among the lung healthy patients stresses the need for individualised ventilator settings based on measurements of lung and chest wall mechanics. The agreement between ΔPLs measured by the two methods during general anaesthesia suggests the use of the non-invasive PSM in this patient population. NCT 02830516. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  15. PEEP-ZEEP technique: cardiorespiratory repercussions in mechanically ventilated patients submitted to a coronary artery bypass graft surgery

    Directory of Open Access Journals (Sweden)

    Auler José

    2011-09-01

    Full Text Available Abstract Background The PEEP-ZEEP technique is previously described as a lung inflation through a positive pressure enhancement at the end of expiration (PEEP, followed by rapid lung deflation with an abrupt reduction in the PEEP to 0 cmH2O (ZEEP, associated to a manual bilateral thoracic compression. Aim To analyze PEEP-ZEEP technique's repercussions on the cardio-respiratory system in immediate postoperative artery graft bypass patients. Methods 15 patients submitted to a coronary artery bypass graft surgery (CABG were enrolled prospectively, before, 10 minutes and 30 minutes after the technique. Patients were curarized, intubated, and mechanically ventilated. To perform PEEP-ZEEP technique, saline solution was instilled into their orotracheal tube than the patient was reconnected to the ventilator. Afterwards, the PEEP was increased to 15 cmH2O throughout 5 ventilatory cycles and than the PEEP was rapidly reduced to 0 cmH2O along with manual bilateral thoracic compression. At the end of the procedure, tracheal suction was accomplished. Results The inspiratory peak and plateau pressures increased during the procedure (p Conclusion The PEEP-ZEEP technique seems to be safe, without alterations on hemodynamic variables, produces elevated expiratory flow and seems to be an alternative technique for the removal of bronchial secretions in patients submitted to a CABG.

  16. Differential Effects of Intraoperative Positive End-expiratory Pressure (PEEP) on Respiratory Outcome in Major Abdominal Surgery Versus Craniotomy

    DEFF Research Database (Denmark)

    de Jong, Myrthe A C; Ladha, Karim S; Melo, Marcos F Vidal

    2015-01-01

    OBJECTIVES: In this study, we examined whether (1) positive end-expiratory pressure (PEEP) has a protective effect on the risk of major postoperative respiratory complications in a cohort of patients undergoing major abdominal surgeries and craniotomies, and (2) the effect of PEEP is differed......: Within the entire study population (major abdominal surgeries and craniotomies), we found an association between application of PEEP ≥5 cmH2O and a decreased risk of postoperative respiratory complications compared with PEEP 5 cmH2O was associated with a significant lower...... undergoing major abdominal surgery. Our data suggest that default mechanical ventilator settings should include PEEP of 5-10 cmH2O during major abdominal surgery....

  17. Raudna põhikooli spordihoone Heimtalis = Raudna School Sports Facility in Heimtali / Peep Jänes

    Index Scriptorium Estoniae

    Jänes, Peep, 1936-

    2009-01-01

    2008. a. valminud spordihoonest, mille autor on Peep Jänes, projekteerija GS-Dis, sisekujundajad Signe ja Gildardas Stokas. Spordihoone rajati 1860. a. ehitatud mõisa ringtalli välismüüri sisealale ja restaureeriti ajalooline ringmüür

  18. Ventilation area measured with eit in order to optimize peep settings in mechanically ventilated patients

    NARCIS (Netherlands)

    Blankman, P; Groot Jebbink, E; Preis, C; Bikker, I.; Gommers, D.

    2012-01-01

    INTRODUCTION. Electrical Impedance Tomography (EIT) is a non-invasive imaging technique, which can be used to visualize ventilation. Ventilation will be measured by impedance changes due to ventilation. OBJECTIVES. The aim of this study was to optimize PEEP settings based on the ventilation area of

  19. Bussijuhtide kindrali rasked päevad / Peep Peterson ; interv. Tanel Raig

    Index Scriptorium Estoniae

    Peterson, Peep, 1975-

    2007-01-01

    Eesti Transpordi- ja Teetöötajate Ametiühingu esimees Peep Peterson vastab bussijuhtide ja tööandjate vahelisi lahkhelisid, ametiühinguliikumist ning kokkuleppe sõlmimist puudutavatele küsimustele. Kommenteerivad: Villem Tori. Streikija iseloomuga raske vastane; Henn Pärn. Peterson saavutas maksimumide maksimumi; Harri Taliga. Ametiühingu liidritel erinevad arusaamad. Lisa: Fakte eluloost

  20. Effect of patient position and PEEP on hepatic, portal and central venous pressures during liver resection.

    Science.gov (United States)

    Sand, L; Rizell, M; Houltz, E; Karlsen, K; Wiklund, J; Odenstedt Hergès, H; Stenqvist, O; Lundin, S

    2011-10-01

    It has been suggested that blood loss during liver resection may be reduced if central venous pressure (CVP) is kept at a low level. This can be achieved by changing patient position but it is not known how position changes affect portal (PVP) and hepatic (HVP) venous pressures. The aim of the study was to assess if changes in body position result in clinically significant changes in these pressures. We studied 10 patients undergoing liver resection. Mean arterial pressure (MAP) and CVP were measured using fluid-filled catheters, PVP and HVP with tip manometers. Measurements were performed in the horizontal, head up and head down tilt position with two positive end expiratory pressure (PEEP) levels. A 10° head down tilt at PEEP 5 cm H(2) O significantly increased CVP (11 ± 3 to 15 ± 3 mmHg) and MAP (72 ± 8 to 76 ± 8 mmHg) while head up tilt at PEEP 5 cm H(2) O decreased CVP (11 ± 3 to 6 ± 4 mmHg) and MAP (72 ± 8 to 63 ± 7 mmHg) with minimal changes in transhepatic venous pressures. Increasing PEEP from 5 to 10 resulted in small increases, around 1 mmHg in CVP, PVP and HVP. There was no significant correlation between changes in CVP vs. PVP and HVP during head up tilt and only a weak correlation between CVP and HVP by head down tilt. Changes of body position resulted in marked changes in CVP but not in HVPs. Head down or head up tilt to reduce venous pressures in the liver may therefore not be effective measures to reduce blood loss during liver surgery. 2011 The Authors Acta Anaesthesiologica Scandinavica, 2011 The Acta Anaesthesiologica Scandinavica Foundation.

  1. Pronkssõduri teisaldamise ainsaks eelduseks on referendum / Kalev Rebane, Roman Zharov, Aleksandr Korobov...[jt.] ; interv. Peeter Ernits, Jüri Aarma, Annika Poldre

    Index Scriptorium Estoniae

    2006-01-01

    Oma seisukohtadest Tallinnas Tõnismäel asuva Teise maailmasõja mälestusmärgi suhtes räägivad isamaaliitlane Kalev Rebane ja vene noorteühenduse Notshnoi Dozor juhid Roman Zharov, Aleksandr Korobov, Oleg Filippov ja Igor Rogo

  2. Between preservation and transformation. First considerations about the recovery of the peep districts in Parma

    Directory of Open Access Journals (Sweden)

    Luca Gullì

    2012-10-01

    Full Text Available The regeneration policy of the PEEP districts, can contribute to the enrichment of the theoretical framework formulated for the protection of the heritage of the Modern Movement. In 2011, the Municipality of Parma, showing a new awareness in relation to assets until now rarely considered, devices a specific field of study within its structural urbanistic plan. In the absence of a regulatory framework of reference, it is crucial to build up the appropriate frameworks of knowledge directed to operational decisions. This can be done by specifically dedicated archives to which to entrust with the definition of a body of rules of urban planning and housing tailored to the particularities of these settlements and to the real questions of transformation that can arise in them.

  3. Effect of PEEP and inhaled nitric oxide on pulmonary gas exchange during gaseous and partial liquid ventilation with small volumes of perfluorocarbon.

    Science.gov (United States)

    Max, M; Kuhlen, R; Falter, F; Reyle-Hahn, M; Dembinski, R; Rossaint, R

    2000-04-01

    Partial liquid ventilation, positive end-expiratory pressure (PEEP) and inhaled nitric oxide (NO) can improve ventilation/perfusion mismatch in acute lung injury (ALI). The aim of the present study was to compare gas exchange and hemodynamics in experimental ALI during gaseous and partial liquid ventilation at two different levels of PEEP, with and without the inhalation of nitric oxide. Seven pigs (24+/-2 kg BW) were surfactant-depleted by repeated lung lavage with saline. Gas exchange and hemodynamic parameters were assessed in all animals during gaseous and subsequent partial liquid ventilation at two levels of PEEP (5 and 15 cmH2O) and intermittent inhalation of 10 ppm NO. Arterial oxygenation increased significantly with a simultaneous decrease in cardiac output when PEEP 15 cmH2O was applied during gaseous and partial liquid ventilation. All other hemodynamic parameters revealed no relevant changes. Inhalation of NO and instillation of perfluorocarbon had no additive effects on pulmonary gas exchange when compared to PEEP 15 cmH2O alone. In experimental lung injury, improvements in gas exchange are most distinct during mechanical ventilation with PEEP 15 cmH2O without significantly impairing hemodynamics. Partial liquid ventilation and inhaled NO did not cause an additive increase of PaO2.

  4. Фабрику Kalev продают норвежской фирме / Андрус Карнау, Райго Неудорф

    Index Scriptorium Estoniae

    Карнау, Андрус

    2010-01-01

    AS-i Kalev Chocolate Factory osta sooviv Orkla kontrerni esindajate kinnitusel hakatakse edaspidi toodangut eksportima nii Balti- kui Põhjamaadesse. Enne varade üleminekut uuele omanikule tuleb ära oodata Kalevi aktsiate aresti alt vabanemine

  5. FCT (functional computed tomography) evaluation of the lung volumes at different PEEP (positive-end expiratory pressure) ventilation pattern, in mechanical ventilated patients

    International Nuclear Information System (INIS)

    Papi, M.G.; Di Segni, R.; Mazzetti, G.; Staffa, F.; Conforto, F.; Calimici, R.; Salvi, A.; Matteucci, G.

    2007-01-01

    Purpose To evaluate with FCT (functional computed tomography) total lung volume and fractional lung volumes at different PEEP (positive end expiratory pressure) values in acute mechanically ventilated patients. Methods Nine ICU (intensive care unity) patients (1 lung pneumonia, 2 polytrauma, 2 sepsis, 3 brain surgery, 1 pulmonary embolism); mean age 48 ± 15 years, 6 male, 3 female; GE 16 MDCT scan was performed with acquisition from apex to diaphragma in seven seca at different PEEP values. Raw CT data were analysed by an advantage workstation to obtain volume density masks and histograms of both lungs and each lung and these density ranges were applied: - 1000 - 950 hyper-ventilated lung, -900 - 650 well aerated lung, -950 - 500 all aerated lung, -500 + 200 lung tissue. Total and fractional lung volumes, Hounsfield unit (HU) were calculated and compared at different PEEP values (0, 5, 10, 15 cm H 2 O). In four patients lung volumes were compared between the more and the less involved lung at increased PEEP. Statistic analysis: comparison means-medians tests. Results Data calculated at five PEEP showed unexpected decrease of total lung volume and increase of lung density (HU); proportionally no significant improvement of oxigenation. (orig.)

  6. FCT (functional computed tomography) evaluation of the lung volumes at different PEEP (positive-end expiratory pressure) ventilation pattern, in mechanical ventilated patients

    Energy Technology Data Exchange (ETDEWEB)

    Papi, M.G.; Di Segni, R.; Mazzetti, G.; Staffa, F. [Dept. of Radiology, S. Giovanni HS, Rome (Italy); Conforto, F.; Calimici, R.; Salvi, A. [Dept. of Anesthesiology, S. Giovanni HS, Rome (Italy); Matteucci, G. [Dept. of Pneumology, S. Giovanni HS, Rome (Italy)

    2007-06-15

    Purpose To evaluate with FCT (functional computed tomography) total lung volume and fractional lung volumes at different PEEP (positive end expiratory pressure) values in acute mechanically ventilated patients. Methods Nine ICU (intensive care unity) patients (1 lung pneumonia, 2 polytrauma, 2 sepsis, 3 brain surgery, 1 pulmonary embolism); mean age 48 {+-} 15 years, 6 male, 3 female; GE 16 MDCT scan was performed with acquisition from apex to diaphragma in seven seca at different PEEP values. Raw CT data were analysed by an advantage workstation to obtain volume density masks and histograms of both lungs and each lung and these density ranges were applied: - 1000 - 950 = hyper-ventilated lung, -900 - 650 well aerated lung, -950 - 500 all aerated lung, -500 + 200 lung tissue. Total and fractional lung volumes, Hounsfield unit (HU) were calculated and compared at different PEEP values (0, 5, 10, 15 cm H{sub 2}O). In four patients lung volumes were compared between the more and the less involved lung at increased PEEP. Statistic analysis: comparison means-medians tests. Results Data calculated at five PEEP showed unexpected decrease of total lung volume and increase of lung density (HU); proportionally no significant improvement of oxigenation. (orig.)

  7. "THE EVALUATION OF THE POSSIBLE EFFECT OF POSITIVE END EXPIRATORY PRESSURE (PEEP ON PHARMACOKINETICS OF PHENYTOIN IN PATIENTS WITH ACUTE BRAIN INJURY UNDER MECHANICAL VENTILATION."

    Directory of Open Access Journals (Sweden)

    "Elham Hadidi

    2005-04-01

    Full Text Available Positive ventilation has shown to have an influence on pharmacokinetic and disposition of some drugs.Beacause phenytoin with a narrow therapautic range, is the most commonly used drug for prophylaxis and treatment of early seizures after acute brain injuries, in the present study the effect of short term PEEP (5-10 cm H2O for at least 8 hours on phenytoin serum concentration and pharmacokinetic parameters such as Vmax and clearance in brain injured patients under mechanical ventilation was examined. Ten patients with moderate to severe acute brain injury who were placed on mechanical ventilation with an initial PEEP level of 0-5 cm H2O were included in the study. Patients received phenytoin loading dose of 15 mg/kg followed by a maintenance daily dose of 3-7 mg/kg initiated within 12 hours of loading dose. Sampels were taken on two different occasions before and after PEEP elevation. Total phenytoin serum concentrations were determined by HPLC method. A time invarient Michaelis-Menten pharmacokinetic model was used to calculate Vmax and clearance for each patient.Derrived variables were calculated as follows: Vmax, 3.5-6.8 and 3.7-8.2 mg/kg/day; Clearance, 0.1-0.7 and 0.1-1.2 l/kg/day (before and after PEEP elevation, respectively. Our data have shown a wide range of variability (2.6-32.5 mg/l in phenytoin serum concentrations. There were no statistically significant differences in the measured total concentrations (p=0.721 and calculated Vmax and clearance (p=0.285before and after PEEP elevation. Administration of fluid and inotropic agents, limitation in application of higher levels of PEEP and drug interactions, shall be considered as possible explanations for these findings.

  8. Rasked vestlused. Kuidas ma talle seda ütlen / Irene Metsis, Sami Seppänen, Peep Sooman ; intervjueerinud Heli Lehtsaar

    Index Scriptorium Estoniae

    Metsis, Irene

    2009-01-01

    Skanska EMV administratsioonijuhi Irene Metsise, AS-i Elisa Eesti tegevdirektori Sami Seppäneni ja Pindi Kinnisvara juhatuse liikme Peep Soomani soovitused negatiivse sõnumi edastamiseks töötajale. Vt. samas: 4 nõuannet juhile, kuidas end keeruliseks vestluseks ette valmistada

  9. Monitoring of intratidal lung mechanics: a Graphical User Interface for a model-based decision support system for PEEP-titration in mechanical ventilation.

    Science.gov (United States)

    Buehler, S; Lozano-Zahonero, S; Schumann, S; Guttmann, J

    2014-12-01

    In mechanical ventilation, a careful setting of the ventilation parameters in accordance with the current individual state of the lung is crucial to minimize ventilator induced lung injury. Positive end-expiratory pressure (PEEP) has to be set to prevent collapse of the alveoli, however at the same time overdistension should be avoided. Classic approaches of analyzing static respiratory system mechanics fail in particular if lung injury already prevails. A new approach of analyzing dynamic respiratory system mechanics to set PEEP uses the intratidal, volume-dependent compliance which is believed to stay relatively constant during one breath only if neither atelectasis nor overdistension occurs. To test the success of this dynamic approach systematically at bedside or in an animal study, automation of the computing steps is necessary. A decision support system for optimizing PEEP in form of a Graphical User Interface (GUI) was targeted. Respiratory system mechanics were analyzed using the gliding SLICE method. The resulting shapes of the intratidal compliance-volume curve were classified into one of six categories, each associated with a PEEP-suggestion. The GUI should include a graphical representation of the results as well as a quality check to judge the reliability of the suggestion. The implementation of a user-friendly GUI was successfully realized. The agreement between modelled and measured pressure data [expressed as root-mean-square (RMS)] tested during the implementation phase with real respiratory data from two patient studies was below 0.2 mbar for data taken in volume controlled mode and below 0.4 mbar for data taken in pressure controlled mode except for two cases with RMS rational decision-making model for PEEP-titration.

  10. Mida arvate ideest, et kõrgkoole võiks juhtida ülikoolivälistest inimestest koosnev nõukogu? / Jaak Aaviksoo, Maris Mälzer, Peeter Kreitzberg, Peep Sürje

    Index Scriptorium Estoniae

    2010-01-01

    Küsimusele vastavad Tartu Ülikooli eelmine rektor Jaak Aaviksoo, Eesti Üliõpilaskondade Liidu esimees Maris Mälzer, Riigikogu kultuurikomisjoni esimees Peeter Kreitzberg ja Tallinna Tehnikaülikooli rektor Peep Sürje

  11. Kas omakeelsel haridusel ja teadusel on tulevikku? / Kirsti Siitonen, Jolanta Zabarskaite, Josep Soler-Carbonell, Rainer Enrique Hamel ; intervjueerinud Peep Nemvalts ; tõlkinud Doris Kareva, Aili Künstler

    Index Scriptorium Estoniae

    2011-01-01

    TLÜ teaduskeelekeskus korraldas koos TLÜ eesti keele ja kultuuri instituudiga 29. ja 30. augustil rahvusvahelise konverentsi "Rahvuskeeled teaduses ja kõrghariduses". Sel teemal vastavad TLÜ teaduskeelekeskuse juhataja Peep Nemvaltsi küsimustele konverentsi rahvusvahelised esinejad

  12. "THE EVALUATION OF THE POSSIBLE EFFECT OF POSITIVE END EXPIRATORY PRESSURE (PEEP) ON PHARMACOKINETICS OF PHENYTOIN IN PATIENTS WITH ACUTE BRAIN INJURY UNDER MECHANICAL VENTILATION."

    OpenAIRE

    "Elham Hadidi; Mojtaba Mojtahedzadeh; Mohammad Reza Rouini; Behzad Eftekhar; Mohammad Abdollahi; Atabak Najafi; Mohammad R. Khajavi; Saeed Rezaee; Reza Ghaffari; Minoo Afshar"

    2005-01-01

    Positive ventilation has shown to have an influence on pharmacokinetic and disposition of some drugs.Beacause phenytoin with a narrow therapautic range, is the most commonly used drug for prophylaxis and treatment of early seizures after acute brain injuries, in the present study the effect of short term PEEP (5-10 cm H2O for at least 8 hours) on phenytoin serum concentration and pharmacokinetic parameters such as Vmax and clearance in brain injured patients under mechanical ventilation was e...

  13. Uus töölpeinguseadus : nagu Soomes lama ajal? Ei, veel karmim / Maret Maripuu, Tarmo Kriis, Peep Peterson ; interv. Külli-Riin Tigasson

    Index Scriptorium Estoniae

    Maripuu, Maret, 1974-

    2008-01-01

    Uue töölepingu seaduse eelnõust. Vestlusringis on sotsiaalminister Maret Maripuu, Eesti tööandjate keskliidu juhataja Tarmo Kriis ja transpordi ametiühingu juhatuse esimees Peep Peterson. Lisatud: mida eelnõu muudab? ; ametiühingute keskliidu juhi Harri Taliga kommentaar: dzhungliseaduste tagasitulek? ; Helmes ASi nõukogu esimehe Jaan Pillesaare kommentaar: praegune seadus on tobe

  14. Toetame Valgevenet / Kalev Kallemets

    Index Scriptorium Estoniae

    Kallemets, Kalev, 1979-

    2006-01-01

    Autor arvab, et demokraatia võiduletulekule Valgevenes aitaks kaasa Aleksandr Lukashenko mitte tunnustamine Valgevene presidendina, samuti tuleks toetada moraalselt ja aineliselt Valgevene opositsiooni. Valgevene majanduslik ning poliitiline toetamine Venemaa poolt tuleks muuta võimalikult ebemugavaks

  15. Põgenemine Egiptusest / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2005-01-01

    Terrorirünnakust Sharm el-Sheikhi luksushotellis Chazala Gardens'is, vastutusevõtjaks on end nimetanud nii rühmitus "Egiptuse Modzhaeedid" (Egiptuse Pühad Sõdalased) kui ka Abdullah Azzami Brigaad

  16. NOAA People Empowered Products (PeEP): Combining social media with scientific models to provide eye-witness confirmed products

    Science.gov (United States)

    Codrescu, S.; Green, J. C.; Redmon, R. J.; Minor, K.; Denig, W. F.; Kihn, E. A.

    2013-12-01

    NOAA products and alerts rely on combinations of models and data to provide the public with information regarding space and terrestrial weather phenomena and hazards. This operational paradigm, while effective, neglects an abundant free source of measurements: millions of eyewitnesses viewing weather events. We demonstrate the capabilities of a prototype People Empowered Product (PeEP) that combines the OVATION prime auroral model running at the NOAA National Geophysical Data Center with Twitter reports of observable aurora. We introduce an algorithm for scoring Tweets based on keywords to improve the signal to noise of this dynamic data source. We use the location of the aurora derived from this new database of crowd sourced observations to validate the OVATION model for use in auroral forecasting. The combined product displays the model aurora in real time with markers showing the location and text of tweets from people actually observing the aurora. We discuss how the application might be extended to other space weather products such as radiation related satellite anomalies.

  17. Efecto del incremento de la PEEP en la actividad muscular respiratoria evaluado con electromiografía de superficie en individuos sanos bajo ventilación espontánea

    Directory of Open Access Journals (Sweden)

    Hernández-Valdivieso, Alher Mauricio

    2016-07-01

    Full Text Available Introduction: In a mechanically ventilated patient with increased airway resistance, the expiratory time span is insufficient to exhale all the inspired volume. In order to maintain oxygenation and to reduce the workload of respiratory muscles, it is common to apply an extrinsic positive end-expiratory pressure (PEEP that reduces tissue collapsibility, counterbalancing the increased resistance. Several studies have shown the usefulness of surface electromyography (sEMG to quantify the work of breathing (WOB, particularly in patients with obstructive diseases. Objective: To assess the effect of incremental PEEP in the respiratory muscle activity through sEMG in healthy volunteers noninvasively ventilated. Methods: Study of muscle activity in 10 healthy male volunteers, noninvasively ventilated for 20 minutes. The extrinsic PEEP was applied from 0 to 5 cm H2O in steps of 1 cm H2O at 30 seconds intervals. Results: The bio-potentials of diaphragm and sternocleidomastoid muscles revealed different breathing patterns in response to incremental PEEP: 1 increase in the workload of both muscles during inspiration and expiration; 2 increase in the workload of only one muscle; 3 a remarkable increase in muscle activity only in expiration. Conclusion: In noninvasively ventilated volunteers, sEMG quantitatively relates the PEEP level with changes in sternocleidomastoid and diaphragm activity.

  18. Keskkond / Peep Pobbul

    Index Scriptorium Estoniae

    Pobbul, Peep

    2004-01-01

    Ilmunud ka: 2003 : annual report : [Eesti Raudtee]. - Tallinn, 2004, lk. 40-41; 2003 : godovoi ottshjot : [Eesti Raudtee]. - Tallinn, 2004, lk. 40-41. AS-i Eesti Raudtee keskkonna-alastest projektidest

  19. The Peep Show

    Science.gov (United States)

    Gamble, David L.

    2010-01-01

    Three years ago, the author and Linda Arbuckle (University of Florida ceramic professor and internationally known majolica clay artist) were on the phone discussing how electric kilns just don't have any artistic design flair to them. The round kiln has basic properties that allow it to function properly, but its looks are far from exciting. They…

  20. Milleks meile Afganistan? / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2007-01-01

    Afganistani sõdade ajaloost ja riigi allakäigust alates 1973. aastast, kui Daud Khan korraldas riigipöörde ja kuningas pages riigist, Nõukogude okupatsioonist 1979-1989. Afganistanis toimuvatest islami terroristide koolitustest, Talibani võimust, narko- ja relvakaubandusest, Eesti kaitseväelaste hukkumisest Afganistanis. Kaart

  1. Doktor Haageni preparaadid / Kalev Vapper

    Index Scriptorium Estoniae

    Vapper, Kalev, 1982-

    2008-01-01

    Mõtteid ja assotsiatsioone Kaido Haageni kaks nädalat pärast pommitamist Gruusias tehtud fotoseeriat vaadates. Fotosid eksponeeriti näitusel "Seinad 080808" Disaini- ja Arhitektuurigaleriis Tallinnas

  2. Iraanis toimuvad presidendivalimised / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2005-01-01

    Iraanis toimuvatest presidendivalimistest. Kaheksast kandidaadist on parimad väljavaated presidendiks saada endisel presidendil Akbar Hashemi Rafsanjanil ja endisel kultuuri- ja kõrgharidusministril Mustafa Moinil

  3. Tarand tegi Tarandit / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2011-01-01

    Euroopa Parlamendi liikme Indrek Tarandi kandideerimisest Toomas Hendrik Ilvese vastaskandidaadina eelseisvatel presidendivalimistel. Vt. samas Andres G. Adamsoni karikatuur. Vt. ka lk. 4: Indrek tegi jälle Tarandit

  4. Influence of posture and positive end-tidal expiratory pressure (PEEP) on clearance of Tc99m-DTPA from the lungs

    International Nuclear Information System (INIS)

    Mason, G.R.; Maublant, J.; Sietsema, K.; Effros, R.M.; Mena, I.

    1984-01-01

    The clearance of Tc99m-DTPA aerosols from the lung has been used to detect and quantitate alterations in the permeability of the pulmonary epithelium. Clearance of the radionuclide is accelerated by both chronic and acute injuries to the lung and by smoking. Several laboratories have reported that Tc99m-DTPA clearance from upper lobes exceeded that from lower lobes in upright subjects. To investigate this phenomenon further the authors studied subjects with simultaneous anterior and posterior cameras in upright and supine positions. In the upright position, clearance from both the anterior and posterior upper regions of interest (ROI's) exceeded the lower regions (-1.64 +- .42 S.D. vs. -0.75 +- .41, anterior, p < .05, n=6), -1.04 +- .23 vs. -0.50 +- .36, posterior. All units = %/min. This difference was not observed in the supine subjects. Clearance from the anterior chest exceeded that from the posterior chest in the supine subjects (-1.28 +- .45 vs. -0.05 +- 1.08) and a small increase in radio-activity was observed in at least one ROI of 5 of 6 subjects from the posterior camera. An increase in activity is likely to be secondary to labeling of blood pool, which would have greatest affect where pulmonary blood volume is largest. Computer processing of the entire lung without observer bias in ROI placement showed similar effects of posture over non-peripheral ROI's. Five subjects breathed on PEEP to cause airspace distention, causing clearance to double. Both dependency and airspace distention appear to influence clearance of aerosolized DTPA, the latter may occur by stretching of epithelial pores

  5. Investigation of continuous effect modifiers in a meta-analysis on higher versus lower PEEP in patients requiring mechanical ventilation--protocol of the ICEM study.

    Science.gov (United States)

    Kasenda, Benjamin; Sauerbrei, Willi; Royston, Patrick; Briel, Matthias

    2014-05-20

    Categorizing an inherently continuous predictor in prognostic analyses raises several critical methodological issues: dependence of the statistical significance on the number and position of the chosen cut-point(s), loss of statistical power, and faulty interpretation of the results if a non-linear association is incorrectly assumed to be linear. This also applies to a therapeutic context where investigators of randomized clinical trials (RCTs) are interested in interactions between treatment assignment and one or more continuous predictors. Our goal is to apply the multivariable fractional polynomial interaction (MFPI) approach to investigate interactions between continuous patient baseline variables and the allocated treatment in an individual patient data meta-analysis of three RCTs (N = 2,299) from the intensive care field. For each study, MFPI will provide a continuous treatment effect function. Functions from each of the three studies will be averaged by a novel meta-analysis approach for functions. We will plot treatment effect functions separately for each study and also the averaged function. The averaged function with a related confidence interval will provide a suitable basis to assess whether a continuous patient characteristic modifies the treatment comparison and may be relevant for clinical decision-making. The compared interventions will be a higher or lower positive end-expiratory pressure (PEEP) ventilation strategy in patients requiring mechanical ventilation. The continuous baseline variables body mass index, PaO2/FiO2, respiratory compliance, and oxygenation index will be the investigated potential effect modifiers. Clinical outcomes for this analysis will be in-hospital mortality, time to death, time to unassisted breathing, and pneumothorax. This project will be the first meta-analysis to combine continuous treatment effect functions derived by the MFPI procedure separately in each of several RCTs. Such an approach requires individual

  6. Kutsekeskkooli õpilaste koosseisust / Peep Leppik

    Index Scriptorium Estoniae

    Leppik, Peep

    2001-01-01

    Helme Kutsekeskkoolis 1985-1988, 1991-1992.a. läbi viidud uuringutest, milles määrati õpilaste IQ, käitumine, õppetöös edasijõudmine. Võrdluseks teisi Eesti koolide õpilaste seas läbi viidud intelligentsusuuringuid (Juhan Tork, 1939 ; Eda Heinla, 1988-1990 ; Juha Sõerd, 1973 ; A.Sukamägi, K.Tamm, 1994)

  7. Weimar, Euroopa kultuuripealinn / Peep Pillak

    Index Scriptorium Estoniae

    Pillak, Peep, 1957-

    1999-01-01

    1999. a. Euroopa kultuuripealinnast Weimarist. Linna minevikust, Weimaris elanud suurmehi, juubelitest, mida tähistatakse 1999. a. 1552. a. asus Weimarisse Lucas Cranach, isa alustatut jätkas Lucas Cranach noorem. 1919. a. alustas Walter Gropiuse juhtimisel Weimaris tegevust Bauhaus, kus aastatel 1922-1925 töötasid ka Wassily Kandinsky, Paul Klee

  8. Pommisatelliit Eesti kohal / Peep Pedmanson

    Index Scriptorium Estoniae

    Pedmanson, Peep, 1963-

    1997-01-01

    Discovery Channel Europe presenteeris Pirital toimunud telemessil videofilmi "Profid. Pommirühm" ("Professionals : Bomb Squad"), stsenarist, režissöör ja operaator Rein Kotov : Inglismaa - Eesti - Taani 1997

  9. Tarbekunstist ja kunstitarbest / Peep Ilmet

    Index Scriptorium Estoniae

    Ilmet, Peep, pseud., 1948-

    2010-01-01

    4. rahvusvahelisest köitekunsti näitusest "Scripta manent" Eesti Tarbekunsti- ja Disainimuuseumis, näituse arengust, eesti köitekunstist, autori soovitused eesti köitekunsti rikastamiseks. Raamatu sisu kaitse ja ligipääsetavuse nõudest

  10. Efeitos da compressão torácica manual versus a manobra de PEEP-ZEEP na complacência do sistema respiratório e na oxigenação de pacientes submetidos à ventilação mecânica invasiva Effects of manual rib-cage compression versus PEEP-ZEEP maneuver on respiratory system compliance and oxygenation in patients receiving mechanical ventilation

    Directory of Open Access Journals (Sweden)

    Flavio Renato Antunes dos Santos

    2009-06-01

    Full Text Available OBJETIVOS: Os pacientes com incapacidade de desempenhar suas funções ventilatórias podem ser submetidos à ventilação mecânica invasiva. A fisioterapia respiratória atua no tratamento destes pacientes com a finalidade de melhorar sua função pulmonar. O objetivo do estudo foi avaliar os efeitos da compressão torácica manual versus a manobra de pressão expiratória final positiva-pressão expiratória final zero (PEEP-ZEEP na complacência do sistema respiratório e na oxigenação de pacientes em ventilação mecânica invasiva. MÉTODOS: Foi realizado um estudo bicêntrico, prospectivo, randomizado e crossover, incluindo pacientes em ventilação mecânica invasiva em modo controlado por um período superior a 48 horas. Os protocolos de fisioterapia respiratória foram realizados de forma aleatória, com intervalo de 24 horas entre eles. Dados da complacência do sistema respiratório e da oxigenação foram coletados antes da aplicação dos protocolos e 30 minutos após a aplicação dos mesmos. RESULTADOS: Doze pacientes completaram o estudo. Na análise intragrupo, em ambas as técnicas houve aumento estatisticamente significativo do volume corrente (p=0,002, da complacência estática (p=0,002 e complacência dinâmica (p=0,002. Com relação à oxigenação, no grupo compressão torácica manual, a saturação periférica de oxigênio aumentou com diferença significativa (p=0,011. CONCLUSÕES: A compressão torácica manual e a manobra de PEEP-ZEEP têm efeitos clínicos positivos e não diferem entre si. Em relação à oxigenação encontramos um comportamento favorável da saturação periférica de oxigênio no grupo compressão torácica manual.OBJECTIVES: Patients unable to perform breathing functions may be submitted to invasive mechanical ventilation. Chest physiotherapy acts directly on the treatment of these patients for the purpose of improving their lung function. The objective of this study was to evaluate the

  11. A demographic outline / Kalev Katus, Allan Puur

    Index Scriptorium Estoniae

    Katus, Kalev, 1955-2008

    2002-01-01

    Ajalooline ülevaade Eesti elanikkonna kujunemisest ning Eestit läbinud migratsioonivoogudest Nõukogude okupatsiooni perioodil, mis on suuresti mõjutanud Eesti tänast demograafilist olukorda. Tabel ja diagrammid: Eestlaste ja välismaalaste arv Eestis 1922-2000; Välismaalaste osakaal Eestis päritolumaa järgi; Rahvusvahelised migratsioonivood Eestis 1946-1999; Välismaalaste osakaal valitud Euroopa riikides. Kaart.

  12. Kuningas on surnud! Elagu kuningas! / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2005-01-01

    Ilmunud ka: Meie Maa 10. august lk. 5. Maailma suurima monarhistliku ja ühe suurema islamiriigi Saudi Araabia uueks kuningaks sai traditsiooniliste tavade järgi peale kuningas Fahdi surma tema poolvend Abdullah. Lisa: Saudi Araabia kuningad

  13. Me alles hakkame ehitama / Kalev Kallemets

    Index Scriptorium Estoniae

    Kallemets, Kalev, 1979-

    2006-01-01

    Ilmunud ka: Delovõje Vedomosti 6. dets. lk. 10. Eesti elamuehituse maht on alles jõudmas Euroopa tasemele ning selleks, et jõuaksime keskmiste eluruumi ruutmeetritega inimese kohta järele arenenud riikidele, kulub veel palju aktiivseid kinnisvara arendamise aastaid, leiab autor

  14. Majanduskasv jätkub / Kalev Kallemets

    Index Scriptorium Estoniae

    Kallemets, Kalev, 1979-

    2006-01-01

    Reformierakonna ettepanekutest järgmisteks aastateks - tulumaksu langetamine, laenuvõtmise ergutamine, müüa või anda kasutamiseks erakätesse riigile kuuluvat kinnisvara (sh valitsemiseks mittevajalik maa), ettevõtluse arendamine

  15. Tsirkus või demokraatia / Kalev Kallemets

    Index Scriptorium Estoniae

    Kallemets, Kalev, 1979-

    2005-01-01

    Autor leiab, et riigikontrolli suunamine kohalikesse omavalitsustesse ning justiitsminister Ken-Marti Vaheri plaan süüdistada sel aastal 63 ametnikku üle Eesti on kõigi avaliku teenistuse töötajate alandamine

  16. Pantvangidraama Põhja-Osseetia keskkoolis / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2004-01-01

    Põhja-Osseetia piirilinnas Beslanis võeti koolimaja koos õpilaste, õpetajate ja lapsevanematega pantvangi, hõivajad nõudsid läbirääkimistele Põhja-Osseetia presidenti Aleksandr Dzassohhovit, Inguššia presidenti Murat Zjazikovi ja doktor Leonid Roshali, et nende kaudu esitada nõudmised Inguššia võimude poolt vangistatud sisside vabastamiseks. Kaart: Põhja-Osseetia

  17. Laps vajab veel riigi toetust / Kalev Kotkas

    Index Scriptorium Estoniae

    Kotkas, Kalev, 1960-

    2001-01-01

    Ilmunud ka: Virumaa Teataja, 5. sept. 2001, lk. 7; Meie Maa, 5. sept. 2001, lk. 4; Lääne Elu, 6. sept. 2001. lk. 4; Valgamaalane, 6. sept. 2001, lk. 2; Koit, 6. sept. 2001, lk. 6; Nädaline, 13. sept. 2001, lk. 4; Vooremaa, 20. sept. 2001, lk. 4; Sakala, 26. sept. 2001, lk. 2; Järva Teataja, 27. sept. 2001, lk. 2. Lastega perede toetamisest. Autor: Rahvaerakond Mõõdukad. Parlamendisaadik

  18. Tõde selgub võrdluses / Kalev Kotkas

    Index Scriptorium Estoniae

    Kotkas, Kalev, 1960-

    2001-01-01

    Vastukaja M. Treiali art. "Sotisaalhoolekande seaduse muudatustest", Vooremaa 11. okt. 2001, lk. 2. Autor: Rahvaerakond Mõõdukad. Parlamendisaadik. Ilmunud ka: Valgamaalane (2001) 27. okt., lk. 2 ; Põhjarannik (2001) 26. okt., lk. 2 ; Hiiu Leht (2001) 19. okt., lk. 2 ; Koit (2001) 20. okt., lk. 6 ; Meie Maa (2001) 23. okt., lk. 2

  19. Kommunistlik Vietnam loodab suurele tulevikule / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2006-01-01

    Ilmunud ka: Hiiu Leht 7. juuli lk. 4. Vietnami Kommunistliku Partei X kongressil peeti kõige tähtsamakas riigi siseprobleemidega tegelemist, mille tulemusena vahetusid president, peaminister ja Rahvuskogu esimees

  20. Kohus himustab Sudaani presidenti / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2009-01-01

    Rahvusvaheline kirminaalkohus otsustas anda välja rahvusvahelise orderi Sudaani presidendi Omar al-Bashir vahistamiseks sõja- ja inimsusevastaste kuritegude eest. Sellekohased arvamused välisajakirjanduses

  1. Ohupilved stabiilse euroraha kohal / Kalev Kallemets

    Index Scriptorium Estoniae

    Kallemets, Kalev, 1979-

    2004-01-01

    Ilmunud ka: Põhjarannik, 4. aug. 2004, lk. 2; Severnoje Poberezhje, 4. aug. 2004, lk. 2; Lääne Elu, 5. aug. 2004, lk. 2; Nädaline, 5. aug. 2004, lk. 4; Valgamaalane, 5. aug. 2004, lk. 2; Meie Maa, 5. aug. 2004, lk. 2; Koit, 5. aug. 2004, lk. 6; Vali Uudised, 6. aug. 2004, lk. 2; Hiiu Leht, 6. aug. 2004, lk. 2; Võrumaa Teataja, 7. aug. 2004, lk. 2; Harjumaa, 10. aug. 2004, lk. 2; Sakala, 11. aug. 2004, lk. 2. Euroraha stabiilsuse ohustajad

  2. Pinochet taas trellide taga / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2005-01-01

    Santiagos vahistati Tšiili endine diktaator Augusto Pinochet, keda süüdistatakse maksupettuses ja passide võltsimises seoses salajaste pangaarvetega, millel on hoiustatud miljoneid dollareid valenimede all USA-s ja teistes riikides

  3. Izvinite, jeshtsho raz izvinite / Raul Kalev

    Index Scriptorium Estoniae

    Kalev, Raul

    2007-01-01

    Autor selgitab eestlaste ja venelaste erinevat suhtumist Teise maailmasõja tulemustesse ning valitsuse käitumist pronkssõduri probleemi lahendamisel ja leiab, et eestlased ja venelased peavad proovima mõista teineteist, soovima tundma õppida kõrvuti elavate rahvaste ajalugu, kombeid ja pühadusi

  4. Eestis meenutati Paul Kerest / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2011-01-01

    Paul Kerese 95. sünniaastapäeva puhul viibisid Tallinnas male eksmaailmameister Anatoli Karpov ja teised malemaailma tipud. President Toomas Hendrik Ilves kohtus male suurkujudega Kadriorus 6. jaan. 2011

  5. Mittetulundusorganisatsioonide tegevus ja strateegiline juhtimine / Kalev Stoicescu

    Index Scriptorium Estoniae

    Stoicescu, Kalev

    2002-01-01

    Bibliogr. lk. 114. - Kokkuvõte ingl. k. lk. 115. Üleminek teadlikule ja sihikindlale strateegilisele juhtimisele teostub mittetulundusorganisatsioonis reeglina siis, kui organisatsioon on saavutanud teatud arengutaseme ehk kriitiliste ressursside massi, mis annab paremaid tegutsemisvõimalusi

  6. Relvastatud jõu kasutamine / Kalev Stoicescu

    Index Scriptorium Estoniae

    Stoicescu, Kalev

    2006-01-01

    Sõjalistes operatsioonides peavad jõu kasutamise reeglid olema piisavalt selged, nende koostamisel arvestatakse oma riigi seadusi ja rahvusvahelist õigust, kuid ka kohalikku kultuuritausta. Liiga kitsad reeglid võivad piirata sõjalise ülema tegevust, liiga laiad või ähmased reeglid aga võivad viia konflikti eskaleerumisele. Näiteid

  7. Tööandja saab võidelda töövägivalla vastu / Meeli Miidla-Vanatalu

    Index Scriptorium Estoniae

    Miidla-Vanatalu, Meeli

    2011-01-01

    Töövägivallast ja seda reguleerivatest õigusaktidest. Nõuanded tööandjale Euroopa Tööohutuse ja Töötervishoiu Agentuuri aruandest "Vägivald ja ahistamine töökohal: olukord Euroopas", Aruanne on kättesaadav EU-OSHA kodulehel

  8. Short outlines of books by Estonian authors : [annotations] / Rutt Hinrikus, Janika Kronberg

    Index Scriptorium Estoniae

    Hinrikus, Rutt, 1946-

    1999-01-01

    Ehin, Andres. Seljatas sada meest; Ilmet, Peep. Tuuldunud luule; Kaplinski, Jaan. Öölinnud. Öömõtted; Kender, Kaur. Iseseisvuspäev; Kesküla, Kalev. Vabariigi laulud; Luik, Viivi. Maa taevas; Nõu, Helga. Hundi silmas; Raun, Mait. Wake up; Remsu, Olev. Haapsalu tragöödia; Sauter, Peeter. Kogu moos; Undusk, Jaan. Maagiline müstiline keel; Vint, Toomas. Kunstnikuromaan

  9. Kalev Spa : Aia tn. 18, Tallinn = Kalev Spa : Aia St. 18, Tallinn / Henry Kuningas

    Index Scriptorium Estoniae

    Kuningas, Henry

    2006-01-01

    "Kalevi" ujula ümberehitus. Projekteerija: AB Emil Urbel OÜ. Autorid: Emil Urbel, Ivar Lubjak. Sisekujundaja: Taavi Aunre (OÜ Boom.ee). Konstruktor: Margus Allik (MG Inseneribüroo OÜ). Projekt ja valmis: 2005. Ill.: I korruse plaan, 4 värv. vaadet

  10. Midagi enamat kui hea film / Peep Pedmanson

    Index Scriptorium Estoniae

    Pedmanson, Peep

    2006-01-01

    Mängufilm "Libahundi needus" : stsenaristid Margus Kasterpalu, Ilmar Raag ja Rainer Sarnet : režissöör Rainer Sarnet : osades Katariina Lauk, Rene Reinumägi : Shop of Dreams - Eesti Televisioon 2005

  11. IFLA 39. aastakongress Baltimaades / Peep Moorast

    Index Scriptorium Estoniae

    Moorast, Peep

    2002-01-01

    Rahvusvaheline maastikuarhitektide föderatsiooni IFLA 39. kongress deviisiga "Muutused maastikus" Baltimaades 7.-13. X 2002. Kongressi peakorterist Riias korraldati väljasõite Lätisse, Eestisse ja Leetu. Eesti Põllumajandusülikoolis sümpoosionil esinesid Eestist Tiina Tammet ja Peeter Vassiljev. Eestile esitati kutse astuda IFLA liikmeks

  12. Eesti mood esitles end Stockholmis / Peep Sooman

    Index Scriptorium Estoniae

    Sooman, Peep, 1978-

    1999-01-01

    Eesti moepäevadel Stockholmis esitleti moeshow'l üle 80 rõivakollektsiooni, osalesid: Baltika, Klementi, Sangar, Zik-Zak (Ivo Nikkolo), Katrin Kuldma Moemaja, Arne Studio, Hipo, Uljas & Tütred, Virulane, Althea.

  13. Andmekaitseõigusest andmekaitseasutuse pilguga / Peep Viljar

    Index Scriptorium Estoniae

    Peep, Viljar, 1970-

    2018-01-01

    Euroopa Liidu ja USA andmekaitseõiguse alusvalikute võrdlus, selgitatakse, millele keskendudb Eesti Andmekaitse Inspektsioon oma töös, andmekaitse üldmääruse trahvide regulatsioonist ja sellega seotud probleemidest Eestis

  14. Mälestustahvel Oslo valitsusele / Peep Pillak

    Index Scriptorium Estoniae

    Pillak, Peep, 1957-

    2016-01-01

    Otsustati tähistada Oslos asuv hoone, kus 1953. aastal nimetati ametiise Eesti Vabariigi valitsus eksiilis. Sõjajärgsetel aastatel organiseerusid eestlased Rootsis. Kuna Rootsis oli pagulaste poliitiline tegevus keelatud, siis toimus eksiilvalitsuse ametisse määramine Oslos. Kui 20. augustil 1991 taastati iseseisev Eesti riik, siis tunnustas seda ka Eesti Vabariigi valitsus eksiilis. Vabariigi valitsus eksiilis lõpetas oma tegevuse 7. oktoobril 1992. aastal. 2. oktoobril 2015 toimunud mälestustahvli avamisest

  15. Poliitikauuringud ja õiguspoliitika kujundamine Eestis / Peep Pruks

    Index Scriptorium Estoniae

    Pruks, Peep, 1963-

    2000-01-01

    Poliitikauuringutest lääneriikides (USA-s) ning Ida- ja Kesk-Euroopa üleminekuühiskondades. Mõttekeskustest (think tank), Eesti poliitikauuringute keskusest PRAXIS ning projektidest "Avaliku sektori ja kolmanda sektori õigusloome alane koostöö" ja "Eesti kriminaalmenetluse optimeerimine"

  16. Privacy : Plug the Internet Peep Hole

    OpenAIRE

    Denebo, Petra; Linder, Anna-Katrine

    2001-01-01

    The Internet is a relatively new technology that has developed explosively during the last 10 years. The Internet-technology has been accepted rapidly by users, but the legal and ethical aspects have not been updated at the same rapid rate. Trust in electronic services or products is founded on knowledge and an understanding of what happens during a session and of the effects that might occur. Within electronically based services there are obvious risks for invisible and undesired results suc...

  17. Production of Energy Efficient Preform Structures (PEEPS)

    Energy Technology Data Exchange (ETDEWEB)

    Dr. John A. Baumann

    2012-06-08

    Due to its low density, good structural characteristics, excellent fabrication properties, and attractive appearance, aluminum metal and its alloys continue to be widely utilized. The transportation industry continues to be the largest consumer of aluminum products, with aerospace as the principal driver for this use. Boeing has long been the largest single company consumer of heat-treated aluminum in the U.S. The extensive use of aluminum to build aircraft and launch vehicles has been sustained, despite the growing reliance on more structurally efficient carbon fiber reinforced composite materials. The trend in the aerospace industry over the past several decades has been to rely extensively on large, complex, thin-walled, monolithic machined structural components, which are fabricated from heavy billets and thick plate using high speed machining. The use of these high buy-to-fly ratio starting product forms, while currently cost effective, is energy inefficient, with a high environmental impact. The widespread implementation of Solid State Joining (SSJ) technologies, to produce lower buy-to-fly ratio starting forms, tailored to each specific application, offers the potential for a more sustainable manufacturing strategy, which would consume less energy, require less material, and reduce material and manufacturing costs. One objective of this project was to project the energy benefits of using SSJ techniques to produce high-performance aluminum structures if implemented in the production of the world fleet of commercial aircraft. A further objective was to produce an energy consumption prediction model, capable of calculating the total energy consumption, solid waste burden, acidification potential, and CO2 burden in producing a starting product form - whether by conventional or SSJ processes - and machining that to a final part configuration. The model needed to be capable of computing and comparing, on an individual part/geometry basis, multiple possible manufacturing pathways, to identify the best balance of energy consumption and environmental impact. This model has been created and populated with energy consumption data for individual SSJ processes and process platforms. Technology feasibility cases studies were executed, to validate the model, and confirm the ability to create lower buy-to-fly ratio performs and machine these to final configuration aircraft components. This model can now be used as a tool to select manufacturing pathways that offer significant energy savings and, when coupled with a cost model, drive implementation of the SSJ processes.

  18. Dr. Heinz von zur Mühlen - teenekas Tallinna ajaloo uurija / Peep Pillak ; foto: Peep Pillak

    Index Scriptorium Estoniae

    Pillak, Peep

    2003-01-01

    ülevaade üheks paremaks Eesti ja Liivimaa, eriti aga Tallinna keskaja asjatundjaks peetava baltisakslasest ajaloolase eluteest ja teaduslikest uurimustöödest, mille eest pälvis 11. sept. 2002 Tallinna teenetemärgi

  19. Üliõpilasteatrid - teistmoodi teater / Kalev Kudu

    Index Scriptorium Estoniae

    Kudu, Kalev, 1961-

    2007-01-01

    Üliõpilasteatrite VI maailmakongressist 21. - 26. juulini Urbinos Itaalias. Autor oma ettekandest teemal "Üliõpilasteater kui mäss. Üliõpilasteatrite eriline missioon globaliseeruvas maailmas". Lühiintervjuu Liege'i ülikooli professori, üliõpilasteatri kunstilise juhi ja Rahvusvahelise Üliõpilasteatrite Liidu (AITU) esimehe Robert Germayga. Etendustest: "Shahrazad - neitsi Bagdadist" (Bologna ülikool, Itaalia"), "Mbomo-mvet" (Yaounde ülikool, Kamerun), "The Believed Dead" (Brescia Katoliiklik Ülikool, Itaalia), "Teenrid" (Teatro Verga, Milano ülikool, Itaalia), "Antigone" (Ateena ülikool, Kreeka), "Tilt!" (Teatro Aenigma, Urbino ülikool, Itaalia), "Paroodia" (Milano ja Urbino ülikoolide üliõpilased), "Erose tiivad" (Saloniki ülikool, Kreeka), "Kolmas laps" (Long Islandi ülikool, USA), "Lee-Oki lugu" (Hoseo ülikool, Lõuna-Korea), "Ülikond" (Vilniuse Tehnikaülikool, Leedu)

  20. Ühe ajastu lõpu algus / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2004-01-01

    Ilmunud ka: Meie Maa, 9. nov. 2004, lk. 7. Yasser Arafati tervislik seisund on halvenemas, seni pole ta ametlikult kedagi oma järeltulijaks määranud. Palestiinlased peaksid suutma valida talle kombekohase järglase, vastasel juhul satuvad nad keerulisse võimuvõitlusse, millest saab kasu eelkõige Iisrael, leiab autor

  1. Läänlased, eestlased ja majanduskasv / Kalev Kallemets

    Index Scriptorium Estoniae

    Kallemets, Kalev, 1979-

    2006-01-01

    Autori hinnangul suurendaks Reformierakonna liberaalne majanduspoliitika eestlaste investeeringuid Eesti majandusse ja need omakorda eestlaste, sh. läänlaste palgataset. Vt. samas diagrammid: Maksud, investeeringud ja reaalne SKP kasv ELis 1996-2004; Eesti ja Läänemaa palgakasv

  2. Kaks teenetemärki Peter Hundile / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2010-01-01

    Pärnu maavanem Andres Metsoja andis president Toomas Hendrik Ilvese volitusel AS Wendre suuromanikule Peter Hundile üle Valgetähe IV klassi teenetemärgi ettevõtluse edendamise eest. Ettevõtja pälvis ka Pärnu linna vapimärgi

  3. Tänavused mõjukamad valimised / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2004-01-01

    Ilmunud ka: Meie Maa, 2. nov. 2004, lk. 4. Ameerika Ühendriikides toimuvatest presidendivalimistest, kus otsustavaks kujuneb kahe kandidaadi, George Walker Bushi ja John Forbes Kerry, vaheline heitlus

  4. Suurajatolla Ali al-Sistani saabus Najaffi / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2004-01-01

    Mässulise shiiidivaimuliku Moqtada al-Sadri Mahdi armee võitlejad on pidanud Najafis USA vägedega lahinguid juba kolm nädalat. Iraagi kõrgeim shiiiavaimulik suurajatolla Ali al-Sistani kutsub kõiki iraaklasi endaga Najaffi marssima, et lahingutele lõpp teha

  5. President Ilves avas Pärnus voodivabriku / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2009-01-01

    President Toomas Hendrik Ilves viibis 16. novembril 2009 Pärnus Trading House Scandinavia AB kontserni kuuluva OÜ Stram voodivabriku avamisel. Riigipea tunnustas ettevõtte omanikku Peter Hunti uute töökohtade loomise eest

  6. Teater kui katk, teater kui haiguste ravi / Kalev Kudu

    Index Scriptorium Estoniae

    Kudu, Kalev, 1961-

    2005-01-01

    Antonin Artaud' projekt tegevuskunsti festivalil "Diverse Universe". Projekti lavastas Tartu Üliõpilasteatri näitlejate ja Tartu Ülikooli kahe teatritudengiga Ph. Brehse Berliini performance'irühmast Open Space. Workshop Tartu Üliõpilasmajas 3.-6. maini ja 6. mail Sadamateatris etendus "Katk". Lisatud lavastaja ja osalejate arvamused õpikojast

  7. Kulka lemmikud 2007 / Kalev Kesküla

    Index Scriptorium Estoniae

    Kesküla, Kalev, 1959-2010

    2008-01-01

    Eesti Kultuurikapitali aastapreemia said 17. saj. Tartu juhuluule kogumiku "O Dorpat, urbs addictissima musis" koostajad Kristi Viiding, Jana Orion, Janika Päll (Tallinn : Eesti Keele Sihtasutus, 2007)

  8. Mis saab Eesti maaelust 2013. aastal? / Kalev Kotkas

    Index Scriptorium Estoniae

    Kotkas, Kalev, 1960-

    2007-01-01

    Ilmunud ka: Nädaline, 14. juuli 2007, lk. 5; Meie Maa, 13. juuli 2007, lk. 2; Järva Teataja, 17. juuli 2007, lk. 2; Valgamaalane, 17. juuli 2007, lk. 2; Hiiu Leht, 17. juuli 2007, lk. 2; Põhjarannik, 13. juuli 2007, lk. 3; Severnoje Poberezhje, 13. juuli 2007, lk. 3; Sõnumitooja, 18. juuli 2007, lk. 2; Pärnu Postimees, 19. juuli 2007, lk. 15; Lääne Elu, 19. juuli 2007, lk. 2; Võrumaa Teataja, 17. juuli 2007, lk. 2; Virumaa Teataja, 20. juuli 2007, lk. 11; Vooremaa, 19. juuli 2007, lk. 2; Sakala, 25. juuli 2007, lk. 2. Autor arutleb maaelu arengukava 2007-2013 meetmete võimaluse üle põllumajanduse konkurentsivõimet parandada ning hoiatab riigikontrolli maaelu käsitleva auditi ja selles prognoositavate majandusraskuste võimalike kaasmõjude eest noorte elukutsevalikule

  9. Teenistuspüstolid valikusõelal / Ants Kalev

    Index Scriptorium Estoniae

    Kalev, Ants

    2004-01-01

    15.-16. juunil 2004 korraldatud Maksu- ja Tolliameti töötajate uute teenistusrelvade valikukonkursile esitatud püstolimudelite Walter'i P99, Sig Sauer'i Sig PRO SP 2022 ja Heckler'i ja Koch'i P 2000 näitajate kirjeldused. Valiku tegemisel Walter'i P 99 kasuks sai määravaks tootja pakutav hind ja relvastusspetsialistide arvamus

  10. Al-Zarqawi - terrorist või kangelane? / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2005-01-01

    Ilmunud ka: Meie Maa 29. juuni lk. 5. Jordaanias sündinud palestiinlane Abu Musab al-Zarqawi, õige nimega Ahmed Fadel al-Khalaylah, on rühmituse Jama'at al-Tawhid wal Jihad juht ja hetkel kuulsaim sõjapealik Iraagis, kes on pühendanud oma elu võitlusele USA vastu

  11. Dokumentaalfilm "Laulev revolutsioon" tähistab vabadust / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2007-01-01

    Dokumentalistide James Tusty ja Maureen Castle Tusty Eesti taasiseseisvumisest kõnelevast dokumentaalfilmist kui suurepärasest Eesti tutvustajast maailmale kirjutab oma koduleheküljel USA uuringute firma Media Research Center president L. Brent Bozell III. Refereering

  12. Bussipark müüdud, mured murtud? / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2004-01-01

    Pärnu linnavalitsus müüs 51,39% bussifirma Pärnu ATP AS-i aktsiaist 11 miljoni kroonise alghinnaga ainsana pakkumise teinud Trandemark OÜ-le. Autor tõstatab küsimuse ostjafirma omanikest ja reisijateveo jätkamise tingimustest

  13. Mõjuka majandusteoreetiku väärikas lahkumine / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2006-01-01

    Suri üks mõjukamaid kaasaja majandusteoreetikuid Milton Friedman, keda seostatakse eelkõige monetaristliku majandusteooriaga, mis rõhutab vabaturumajanduse arendamist ja valitsuse võimalikult vähest sekkumist majandustegevusse

  14. Rahvusvaheliselt tõsiseltvõetav partner / Leif Kalev

    Index Scriptorium Estoniae

    Kalev, Leif, 1976-

    2000-01-01

    Eesti Üliõpilaskondade Liidu osalusest Euroopa üliõpilaskondade liitude katusühenduse (ESIB-The National Unions of Students in Europe) kui majandusliku ISIC-kaardi väljaandjate keskühenduse (ISTC-International Student Travel Association) töös. ESIB-i poolaastakoosolekul Genfis oktoobri lõpul võeti vastu avaldused Eesti, Austria ja Suurbritannia üliõpilaskondade liitude toetuseks tegevuses õppemaksude vastu. Septembri lõpul toimus Düsseldorfis rahvusvaheline noorte ja tudengite iga-aastane turismikonverents

  15. Aukonsulid aitavad edendada kontakte Eestiga / interv. Kalev Vilgats

    Index Scriptorium Estoniae

    2008-01-01

    Ülevaade Eesti aukonsulite viiendast konverentsist, millest võttis osa üle 70 aukonsuli rohkem kui 40 riigist. Lisad: Aukonsulid Eestis; Eesti konsulaatide ajalugu. Vt. samas: Kuidas sai teist Eesti aukonsul? Kui palju kulub teie ajast konsulitööle?; Mida arvavad teie tegevusest perekonnaliikmed ja sõbrad? Küsimustele vastavad Eesti aukonsul Moldovas Igor Goncearov, Eesti aukonsul Los Angeleses Jaak Treiman, Eesti aukonsul Tuneesias Abdeljelil Bouraoui, Eesti peaukonsul Sao Paulos Jüri Saukas. Arvamust avaldab ka Eesti välisminister Urmas Paet.

  16. Peresõbralik firma 2002 - Paikuse Saeveski / Kalev Petti

    Index Scriptorium Estoniae

    Petti, Kalev

    2002-01-01

    Ajakiri Pere ja Kodu ja ajaleht Äripäev selgitasid välja Eesti kõige peresõbralikuma ettevõtte. - Lisaks tabelid: Eesti töötajasõbralike ettevõtete TOP 50 ; Peresõbralike firmade TOP 50 ; Töökeskkonnasõbralike firmade TOP 50 ; Töötaja arengu sõbralike firmade TOP 50

  17. Uus etapp Iisraeli võitluses palestiinlastega / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2004-01-01

    Ilmunud ka: Meie Maa, 27. apr. 2004, lk. 6. Iisraeli ja Hamasi vahelise võitluse ägenemise käigus tapeti Iisraeli julgeolekujõudude poolt Palestiina äärmusrühmituse Hamas juht Abdel-Aziz al-Rantisi. Lähis-Ida rahuplaani hakkavad Berliinis arutama rahuprotsessi nelja osapoole esindajad - USA, Euroopa Liit, ÜRO ja Venemaa

  18. Surmanuhtlus - õiglane või mitte / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2007-01-01

    Artiklis käsitletakse küsimust, kas surmanuhtlust pidada õiglaseks karistuseks või pole selle täitmine demokraatlikus ühiskonnas küllaldaselt õigustatud. Ilmunud ka Meie Maa : Nädalalõpp 19-20. jaan. 2007, lk. 3

  19. Uue paradigma poole monumendikeskustelus / Priit-Kalev Parts

    Index Scriptorium Estoniae

    Parts, Priit-Kalev, 1972-

    2007-01-01

    Autor püstitab küsimuse, kas on üldse sünnis luua igavesi ja muutumatuid vorme. Paindlikumat tõlgendamist võimaldab näiteks muutlik ja hävinev puu, mida võib vesta või istutada. Pingemaandajana sobiks tordist monumendikoopia

  20. Merkel: Nord Streami on meile vaja / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2009-01-01

    Venemaa presidendi Dmitri Medvedevi ja Saksamaa kantsleri Angela Merkeli kohtumisel käsitleti energeetikapoliitikat, D. Medvedev kutsus Rootsit üles toetama Nord Streami arendamist ning taunis Nabucco gaasijuhtme rajamist

  1. Mida teha järjepideva rahvastikuarengu nimel / Kalev Katus

    Index Scriptorium Estoniae

    Katus, Kalev, 1955-2008

    2007-01-01

    Rahvastikuteadlane annab ülevaate Eesti rahvastiku sündimustasemest kui rahvastikuprotsesse enim mõjutanud tegurist, analüüsib erinevate meetmete, sh rahakesksete meetmete mõju sündimusele ja pakub välja abinõud, mis aitavad tõsta sündimuse taastetasemele. Lisatud diagramm ja graafikud

  2. Eraõigusliku juriidilise isiku organi liikmete õigussuhted / Kalev Saare

    Index Scriptorium Estoniae

    Saare, Kalev, 1974-

    2010-01-01

    Eraõiguslike juriidiliste isikute organi mõistest aktsiaseltsi ja osaühingu näitel, organiliikmete sisesuhte tekkimisest ja tsiviilseadustiku üldosa seaduse poolt määratud sisesuhte sisusse kuuluvatest peamistest kohustustest

  3. Eesti nimekaim ilukirurg jagab enesekindlust / Peep Pree ; intevjueerinud Priit Pullerits

    Index Scriptorium Estoniae

    Pree, Peep, 1958-

    2006-01-01

    Vestlus Tartu esteetilise kirurgia erakliiniku Clinica juhatajaga tööst, vastutustundest, ebaõnnestumistest. Kommenteerivad Tartu linnapea Laine Jänes ja Tartu Ülikooli arstiteaduskonna emeriitprofessor Ennu Sepp

  4. Kolm jääaegset triumfi / Peep Pedmanson

    Index Scriptorium Estoniae

    Pedmanson, Peep

    2002-01-01

    Tallinnas ja Tartus tuli ekraanile USA joonisfilm "Jääaeg" ("Ice Age"), mille dubleerimisse on režissöör Janno Põldma juhtimisel kaasatud parimad eesti näitlejad. Eriti Anu Lambi meisterlikkusest laisklooma dubleerimisel ning arvutianimatsiooni kõrgest tasemest

  5. Kuidas kirjutada eesti rahva vastupanust okupatsioonivõimudele? / Peep Varju

    Index Scriptorium Estoniae

    Varju, Peep

    2009-01-01

    Eestlaste vastupanust Teise maailmasõja ajal, ajalootõlgendusest taasiseseisvumise esimestel aastatel. Ettekanne Jüri Kuke mälestusele pühendatud Langenud Vabadusvõitlejate Päeva XIII aulakonverentsil Tartu Ülikoolis 28. märtsil 2009

  6. Sõjakurjategijate ja nende ohvrite kohtlemisest Eesti Vabariigis / Peep Varju

    Index Scriptorium Estoniae

    Varju, Peep

    2009-01-01

    Autor kritiseerib 1949. aasta märtsiküüditamises kannatanute võimalusi õigusabile ja küüditajate üle kohtumõistmise venimist. Viited okupatsioonirežiimide poolt represseeritud isiku seadusele

  7. Ventilator-induced mediator release: role of PEEP and surfactant

    OpenAIRE

    Haitsma, Jack

    2002-01-01

    textabstractLung protective ventilation such as the ARDSnet low tidal volumes strategy can reduce mortality in ARDS patients. The lmowledge that an essential therapy such as mechanical ventilation on the intensive care influences patient outcome has given rise to the re-evaluation of current ventilation practices. This review addresses the current state of lung protective strategies and their physiological rationale. Latest knowledge on the instigation and progression of lung injury by mechan...

  8. Gerd Kanter alistas keerulised tuuled ja tugevad vastased / Peep Pahv

    Index Scriptorium Estoniae

    Pahv, Peep, 1970-

    2008-01-01

    Vt. ka Postimees : na russkom jazõke 17. märts, lk. 13. Maailmameister Gerd Kanter võitis viiendat korda Euroopa talvised karikavõistlused. Mihkel Kukk viskas oda 78.41 ning täitis Pekingi olümpia B-normi

  9. Ettevaatust, bussid jäävad seisma! / Peep Peterson

    Index Scriptorium Estoniae

    Peterson, Peep, 1975-

    2004-01-01

    Ilmunud ka: Severnoje Poberezhje, 23. okt. 2004, lk. 2; Narva Postiljon, 23. okt. 2004, lk. 5; Narvskaja Gazeta, 23. okt. 2004, lk. 4; Sakala, 26. okt. 2004, lk. 2; Võrumaa Teataja, 26. okt. 2004, lk. 2; Vooremaa, 26. okt. 2004, lk. 2; Meie Maa, 26. okt. 2004, lk. 2; Harjumaa, 26. okt. 2004, lk. 2; Järva Teataja, 28. okt. 2004, lk. 2; Hiiu Leht, 29. okt. 2004, lk. 2; Pärnu Postimees, 29. okt. 2004, lk. 15; Linnaleht : Pärnu, 29. okt. 2004, lk. A4; Valgamaalane, 6. nov. 2004, lk. 2. Transpordi ametiühing andis autoettevõtete liidule üle nõudmise, milles taotleb kõigile bussijuhtidele lisatasudeta Eesti keskmist palka. Kokkuleppele tuleb jõuda enne 2005. aasta 1. jaanuari

  10. ``Peeps,'' cream, heads, and food coloring in a vacuum jar

    Science.gov (United States)

    DePino, Andrew

    2001-01-01

    This note describes some methods of adding interest to the standard vacuum jar demonstrations. Marshmallow animals, shaving cream, doll heads, and food coloring add some spark to these demos. These new twists have been well received by the students.

  11. "Scientific peep show": the human body in contemporary science museums.

    Science.gov (United States)

    Canadelli, Elena

    2011-01-01

    The essay focuses on the discourse about the human body developed by contemporary science museums with educational and instructive purposes directed at the general public. These museums aim mostly at mediating concepts such as health and prevention. The current scenario is linked with two examples of past museums: the popular anatomical museums which emerged during the 19th century and the health museums thrived between 1910 and 1940. On the museological path about the human body self-care we went from the emotionally involving anatomical Venuses to the inexpressive Transparent Man, from anatomical specimens of ill organs and deformed subjects to the mechanical and electronic models of the healthy body. Today the body is made transparent by the new medical diagnostics and by the latest discoveries of endoscopy. The way museums and science centers presently display the human body involves computers, 3D animation, digital technologies, hands-on models of large size human parts.

  12. Loe raha, ole paindlik ning kuula klienti / Peep Ehasalu

    Index Scriptorium Estoniae

    Ehasalu, Peep, 1966-

    2004-01-01

    Eesti ettevõtete TOP 100 1. koht. Kolmandat aastat järjest edetabeli tippu jõudnud Tele2 edu rajaneb kolmel sambal. Lisad: Tele2 Eesti AS; Tele2 pürgib maruliselt kõrgustesse. Kommenteerivad Andrus Hiiepuu, Inna Kramer ja Agne Kivisaar.

  13. Eesti arhiivid Euroopa kontekstis / Lea Kõiv, Peep Pillak

    Index Scriptorium Estoniae

    Kõiv, Lea, 1961-

    2013-01-01

    2005. aastal toimus konverents "Eesti arhiivid Euroopa kontekstis". Selle konverentsil esitatud ettekannete baasil ilmunud kogumikust "Die Archive Estlands im Europäischen Kontxt/Estonian Archives in the European Context". Kogumikus sisalduvatest artiklitest

  14. Schaulust und Horror Soziokulturelle - Perspektiven auf PEEPING TOM

    Directory of Open Access Journals (Sweden)

    Thomas Ballhausen

    2010-09-01

    Full Text Available Die Geschichte des Kinos und des Films ist mindestens ebenso sehr eine Geschichte des Schreckens (und der damit verbundenen Schaulust wie sie eine Geschichte des Dokumentarischen zu sein scheint. Es sind die außergewöhnlichen Körper und deren Bewegungen, die das Publikum zu allen Zeiten faszinierten, schockierten und zum Schauen und Sehen lockten. Besonders das Genre des Horrorfilms ist mit diesem zentralen Aspekt des Kinos besonders deutlich verbunden.

  15. Digimaks ei hakka põhjustama guugeldamisreise / Dmitri Jegorov

    Index Scriptorium Estoniae

    Jegorov, Dmitri

    2017-01-01

    Eesti digimajanduse maksustamise muutuste mõjust. Vastus Kaido Künnapas, Mihkel Miidla ja Paul Künnapi artiklile "Kas pärast digimaksu kehtestamist tuleb guugeldamiseks minna Rootsi reisile?". Eesti Päevaleht, 2017, 9. okt.

  16. Mis vahe on lähetatud töötajal ja töölähetusel viibival töötajal? / Meeli Miidla-Vanatalu

    Index Scriptorium Estoniae

    Miidla-Vanatalu, Meeli

    2017-01-01

    Lähetatud töötaja ja töölähetusel viibiva töötaja mõistest. Töötajale ja tööandjale Eestisse lähetatud töötajate töötingimuste seadusest tulenevatest nõuetest, töövaidluste lahendamisest

  17. Värvid meie ümber / Kalev Vene, Herki Tomberg

    Index Scriptorium Estoniae

    Vene, Kalev

    2001-01-01

    Värvid läbi aastatuhandete, esiisadeaegne värvitööstus, värvide põhikomponendid, erinevate värvitüüpide funktsioonid, värvide jaotus ja omadused, punamuldvärv, õlivärv, liimvärv. Järg: nr. 9, lk. 44-45, nr. 10, lk. 18-21, nr. 11, lk.40-41, nr. 12, lk. 31-31. Vaid I osa kokkuvõte inglise ja vene keeles

  18. Rahvastikuteadus ja Eesti rahvastikuarengu pöördepunktid / Kalev Katus, Allan Puur

    Index Scriptorium Estoniae

    Katus, Kalev, 1955-2008

    2006-01-01

    Järg nr. 3 lk. 491-522. Bibl. lk. 511-521. Rahvastikuteaduse tekke- ja arenguloost, rahvastikuarengu kui iseseisva sotsiaalsüsteemi seaduspärasustest ning demograafilisest üleminekust rahvastikutaaste arenguetapina. Tabelid

  19. Ehitise garantii kehtivas eraõiguse süsteemis / Kalev Saare, Kristjan Tamm, Urmas Volens

    Index Scriptorium Estoniae

    Saare, Kalev, 1974-

    2013-01-01

    Ehitise garantii olemusest ja eesmärkidest, seostest töövõtugarantii ja tagatava õigussuhtega. Artikli teema seondub 29.–30. novembrini 2012 Tartus toimunud rahvusvahelisel konverentsil „Kümme aastat võlaõigusseadust Eestis ja võlaõiguse areng Euroopas“ peetud ettekandega „Töövõtja vastutus ehituse töövõtulepingu rikkumisel ja ehitise garantii“

  20. Kliimasoojenemise hüsteeria läheb kalliks maksma / Kalev Kallemets

    Index Scriptorium Estoniae

    Kallemets, Kalev, 1979-

    2009-01-01

    Autori väitel tähendab praegune EL-i süsinikdioksiidi-kaubanduse kokkulepe Eesti elektrihinna 2-3-kordistumist 2015. või 2020. aastaks, 20% suurune emissioonikärbe ning süsinikdioksiidi kvoodi hinnatõus tähendab lööki Eesti ja Euroopa majandusele

  1. "Need, kes on käest libisenud..." : [luuletused] / Kalev Kesküla

    Index Scriptorium Estoniae

    Kesküla, Kalev, 1959-2010

    2000-01-01

    Sisu: "Need, kes on käest libisenud..." ; Armastuse kolmjalg ; Inimese määratlus ; Aja määratlus ; Taasleitud Pariis ; Dr. Faustus ; "Päev, mu tegus tööandja..." ; "Mõned kadunud asjad..." ; "Keskealine mees..." ; "Unustuse keha..."

  2. USA presidendivalimised lükati käima / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2007-01-01

    Kuigi USA presidendi George Walker Bushi ametiaeg lõpeb kahe aasta pärast ja presidendivalimised toimuvad alles järgmisel aastal, on valimiskampaania juba alanud. Esmalt tuleb vabariiklastel ja demokraatidel välja selgitada partei ühiskandidaadid

  3. Põhja-Korea tuumakriisis saavutati läbimurre / Kalev Kask

    Index Scriptorium Estoniae

    Kask, Kalev

    2007-01-01

    Kuuepoolsel läbirääkimisel sõlmitud leppe järgi lubab Põhja-Korea sulgeda vaidlusaluse Youngbyoni tuumajaama, kus valmistatakse väidetavalt plutooniumi, peatingimuseks saada vastutasuks suures koguses elektrienergiat

  4. Laenusaaja õiguste kaitse SMS-laenu lepingute puhul / Kalev Saare, Karin Sein, Mari Ann Simovart

    Index Scriptorium Estoniae

    Saare, Kalev, 1974-

    2010-01-01

    SMS-laenu lepingutele kohaldatavad normid, laenuandja teavitamiskohustus ja tarbija võimalused lepingust taganeda. Laenuandja intressi-, viivise- ja leppetrahvinõuded, intressikokkuleppe lubatavuse piirangud

  5. Tegevusloa kehtetuks tunnistamine : kas haldussund või karistus? / Kalev Aavik

    Index Scriptorium Estoniae

    Aavik, Kalev

    2011-01-01

    Artikkel põhineb 31. Eesti õigusteadlaste päevadel Tartus 30. septembril 2010 peetud ettekandel. 23. veebruaril 2011 võttis Riigikogu vastu majandustegevuse seadustiku üldosa seaduse, mis muuhulgas kodifitseerib tegevuslubade andmise ja kehtetuks tunnistamise normid. Vastavast Euroopa Inimõiguste Kohtu praktikast

  6. Applying theory of constraints in tactical and strategic management / Kalev Kaarna, Mait Miljan

    Index Scriptorium Estoniae

    Kaarna, Kalev

    2002-01-01

    Bibliogr. lk. 86-87. - Kokkuvõte eesti keeles lk. 87. Piirangute teooria kasutamise vajadusest ja võimalustest. Piirangute juhtimisest pikas perspektiivis ning sellel põhinevast strateegilisest juhtimisest. Tabelid

  7. Et karu müttaks ja hunt uluks / Kalev Aun

    Index Scriptorium Estoniae

    Aun, Kalev, 1951-

    2004-01-01

    Keskkonnainvesteeringute Keskuse jahinduse programmi raames toetab KIK jahimaade korralduse ja ulukikaitse projekte ning jahiulukite rakendusuuringuid, trükiste väljaandmist ja jahimeeste erialast väljaõpet

  8. Rannaprotsesside anatoomia laserskaneerimise skalpelliga / Maris Eelsalu, Artu Ellmann, Kalev Julge ... [jt.

    Index Scriptorium Estoniae

    2014-01-01

    Ajavahemikus 2008-2013 Pirita rannas läbi viidud uurimuses demonstreeriti lennukil paikneva (ALS) ja rannale paigaldatud (TLS) mõõdistusseadmete abil tehtava laserskaneerimise võimalusi ranna kolmemõõtmelise topograafia ajaliste muutuste analüüsimiseks

  9. Reservsõjaväelasele Leo Kunnasele anti Stalkeri romaaniauhind / Kalev Kask, Kaarel Kressa

    Index Scriptorium Estoniae

    Kask, Kalev

    2009-01-01

    Eesti Ulmeühingu Stalkeri-nimelised auhinnad jaotusid järgmiselt: algupärase romaani auhind - Leo Kunnas (romaani "Gort Ashryn" 1. osa "Enne viimast sõda"), algupärase jutu auhind - Indrek Hargla ("Minu päevad Liinaga", ilm. Looming, 2008, nr. 8), algupärase lühijutu auhind - Laur Kraft ("Ultima Cthule", ilm. võrguajakirjas Algernon), tõlkeromaani auhind - Sergei Lukjanenko ("Öine Vahtkond"), kogumiku auhind - Poul Anderson ("Taevarahvas"), tõlkejutu auhind - Paolo Bacigalup ("Flööditüdruk")

  10. Vastutegevuse staabi tööst Kevadtormil 2003 / Kalev Muru

    Index Scriptorium Estoniae

    Muru, Kalev

    2003-01-01

    Brigaadiõppustel Kevadtorm 2003 võimaldati reservohvitseridel soovi korral osaleda Kaitseliidu üksuste juures abilistena. Kaitseliit oli sellel suurõppusel üks põhilisi vastutegevuse organiseerijaid

  11. Eesti majandus 1991-2007 : taassünd ja edulugu / Kalev Kukk

    Index Scriptorium Estoniae

    Kukk, Kalev, 1951-

    2008-01-01

    Ettekanne Rahvusarhiivi teaduskonverentsil "Kaks algust: 15 aastat iseseisvat Eesti Vabariiki" 23. novembril 2007. Eesti majandus 1980-ndate aastate lõpul, iseseisvuse esimestel aastatel ning pärast liitumist Euroopa Liiduga. Tabelid

  12. Krazh v regione stalo menshe. Prestuplenii protiv litshnosti - bolshe / Kalev Prillop ; interv. Aleksei Starkov

    Index Scriptorium Estoniae

    Prillop, Kalev

    2006-01-01

    Ilmunud ka: Infopress 11. aug. lk. 24-25. Ida politseiprefekt vastab küsimustele, mis puudutavad Sillamäe elaniku tapmist Narva-Jõesuus, kuritegevust Ida- ja Lääne-Virumaal selle aasta I poolaastal, sh. Sillamäel

  13. Eesti lipu võib heisata iga päev / Kalev Uustalu

    Index Scriptorium Estoniae

    Uustalu, Kalev, 1951-

    2006-01-01

    Aasta alguses jõustunud Eesti lipu seaduses kehtestatud riigi- ja kohaliku omavalitsuse asutustele riigilipu kasutamise uutest reeglitest ning eraisikutele Eesti lipu kui rahvuslipu kasutamise vabadusest. Sama ka Hiiu Leht 3. veeb. 2006, lk. 8 ; Sakala 10. veeb. 2006, lk. 2 ; Lääne Elu 9. veeb. 2006, lk. 2 ; Järva Teataja 23. veeb. 2006, lk. 2 ; Pärnu Postimees 23. veeb. 2006, lk. 2 ; Linnaleht Tartu 24. veeb. 2006, lk. 6

  14. A-, B- ja C-kingades üle salamandrite / Kalev Vapper

    Index Scriptorium Estoniae

    Vapper, Kalev, 1982-

    2010-01-01

    Fotonäitus "Riburajad" Y-galeriis Tartus 5. oktoobrist 17. oktoobrini 2009, kuraator Peeter Laurits. Näitusel eksponeeritud fotode read tekkisid järk-järgult pildivahetuse käigus Tartu Kõrgema Kunstikooli endiste ja praeguste tudengite vahel. Loetletud osalejad, lähemalt Valdur Mikita tekstidest

  15. Kahtlejate osakaal on kasvanud 44 protsendile / Kärt Anvelt ; kommenteerinud Kalev Petti

    Index Scriptorium Estoniae

    Anvelt, Kärt, 1973-

    2011-01-01

    Autor käsitleb viimaseid valimiste-eelseid küsitlusuuringuid ning märgib, et kahtlejaid on enim endiste Reformierakonna toetajate seas ning valimiste tulemuse seisukohalt näib olevat võtmeküsimus, kas Reformierakonna valija taastab oma eelistuse ja tuleb valima või mitte. Diagrammid, graafikud

  16. Rohkem kui 300 aastat tagasi surnud pere õnnestus tuvastada / Mati Mandel ; Kalev Jaago

    Index Scriptorium Estoniae

    Mandel, Mati, 1945-

    2016-01-01

    Peanse külas Lihula vallas toimunud kaevamistest. Leiti nelja inimese luustikud. Leiumaterjal võimaldas võrrelda ja kokku viia arheoloogi, numismaatiku, atropoloogi ja arhivaari uurimistulemusi. Suure tõenäosusega võisid leitud maetud olla Leti Andrese Mihkel, tema abikaasa ning lapsed Heinrich ja Ann. Tegu võib olla 1710.- 1711. aasta katku ohvritega. Haruldase juhtumina saab luid seostada konkreetsete ajalooliste isikutega

  17. Seitsmes palverändur on professor Volker Sellin / Kalev Vilgats

    Index Scriptorium Estoniae

    Vilgats, Kalev

    2009-01-01

    Pärnust pärit valgustusaja mõtleja Carl Gustav Jochmanni 220. sünniaastapäeva tähistamine Pärnu raekojas. Loenguid pidasid professorid dr. Ulrich Kronauer ja dr. Volker Sellin Saksamaalt. Seitsmenda Pärnu akadeemilise palveränduri märgi sai dr. Volker Sellin. Akadeemilise palverändurimärgi on saanud väljaspool Eestit Pärnu ajaloo uurimist toetanud või siit pärit väljapaistvate tegelaste pärandit tutvustanud õpetlased

  18. Vabadus, võrdsus ja vendlus ning liberaaldemokraatliku riigi üleilmastumine / Leif Kalev

    Index Scriptorium Estoniae

    Kalev, Leif, 1976-

    2011-01-01

    Vabadus, võrdsus ja vendlus liberaaldemokraatlikus riikluses, selle sisepinged ja alternatiivid üleilmastumise kontekstis ning kohasus tänase poliitika ja valitsemise analüüsimisel. Liberalismi rakendustest Eestis

  19. Hans Lepp : ainult tänu kodueestlastele on Eesti olemas / Hans Lepp ; interv. Kalev Vilgats

    Index Scriptorium Estoniae

    Lepp, Hans, 1950-

    2007-01-01

    Rootsi instituudi praegune kultuurinõunik Hans Lepp töötas esimese kultuuriatasheena taas avatud Rootsi suursaatkonnas. Töötamisest Rootsi instituudis, riigi välispoliitikast, suhetest Venemaaga, aprillisündmustest jm

  20. Mets ja marutaud / Merje Ottson ; kommenteerinud Kalev Männiste, Kaja Kübar, Enel Niin

    Index Scriptorium Estoniae

    Ottson, Merje

    2011-01-01

    Marutõvest ja marutaudist. Rebaste ja kährikute marutaudi vastase vaktsineerimise mõjust loomade arvukuse kasvutegurina ning nende põhjustatud ohust lindude, peamiselt metsislaste, ja näriliste arvukusele ning jahimeeste osast rebaste ja kährikute arvukuse piirajana.

  1. Kulu- ja turupõhisest hinnakujundamise strateegiast turunduses / Mait Miljan, Kalev Kaarna

    Index Scriptorium Estoniae

    Miljan, Mait

    2005-01-01

    Tänapäevases ärikeskkonnas soovitavad autorid kasutada kombineeritud mudelit, milles rakendatakse kulu- ja turupõhist strateegiat lähtuvalt ettevõtte turusituatsioonist, tegevusvaldkonnast ning püütakse liikuda ühtse hinnakujundamiseni tarneahelas kui tervikus. Skeemid

  2. Takistused ja tulemused piirangute teooria rakendamisel ettevõtete arendamiseks / Kalev Kaarna

    Index Scriptorium Estoniae

    Kaarna, Kalev

    2005-01-01

    Piirangute teooria on selgetel alustel põhinev juhtimiskontseptsioon, mis võtab arvesse ka inimkäitumist muutuste juhtimisel, keskendub ettevõtte tegevustulemuste hüppelisele paranemise saavutamisele läbi tegevuse fokuseerimise. Skeem. Tabel

  3. Avati mälestuskivi Heinrich Marga sünnikohas / Peep Pillak ; fotod: Peep Pillak ja Valitsuse Kommunikatsioonibüroo

    Index Scriptorium Estoniae

    Pillak, Peep

    2008-01-01

    1. oktoobril avati mälestuskivi Eesti Vabariigi valitsuse eksiilis peaministri presidendi ülesannetes Heinrich Marga sünnikohas Põlvamaal Kõlleste (Krootuse) vallas Ihamaru külas Otsa talu juures

  4. Heterogeneity of O blood group in India: Peeping through the window of molecular biology

    Directory of Open Access Journals (Sweden)

    Harita Gogri

    2018-01-01

    Results And Discussion: Overall, ten different genotypes were identified. Three rare alleles, namely, O05, O11, and O26 were seen in the mixed group category. These results suggest that there is an internal heterogeneity in the mixed group while Dhodias and Parsis, the groups which were screened earlier, seem to be more homogenous groups. An important piece of information emerges out from this study, that is, O01O02 genotype is expressing some selective force in population groups screened in India as well as many other groups worldwide. Conclusion: In the future, molecular genotyping of the ABO blood group system among different ethnic and tribal Indian groups would help in generating data to fill up the gaps in the molecular ABO map of the world.

  5. Tunni analüüs - mis see on? / Peep Leppik

    Index Scriptorium Estoniae

    Leppik, Peep

    2001-01-01

    Tunni analüüs, õppe-kasvatustöö eesmärgid. Tunni analüüs on hinnangu andmine protsessidele, mille kutsub esile õpetaja tegevus (või tegevusetus) tunnis. Tunni läbiviimise protsessi mõjutavad õpilaste koosseis klassis, erinevate õppevormide ja õppemeetodite kasutamine, kasutatud õppevõtete otstarbekus, erinevad metoodikad ja õppesüsteemid

  6. Kuulus velotuur võib jõuda Eesti teedele / Peep Pahv

    Index Scriptorium Estoniae

    Pahv, Peep, 1970-

    2007-01-01

    Vt. ka Postimees : na russkom jazõke 29. nov., lk. 12. Maailma mainekaima velotuuri Tour de France korraldajad on pöördunud Eesti kultuuriministeeriumi poole ettepanekuga alustada 2018. aasta võidusõitu Tallinnast

  7. Heterogeneity of O blood group in India: Peeping through the window of molecular biology.

    Science.gov (United States)

    Gogri, Harita; Ray, Sabita; Agrawal, Snehal; Aruna, S; Ghosh, Kanjaksha; Gorakshakar, Ajit

    2018-01-01

    Molecular genotyping of ABO blood group system has identified more than 60 "O" group alleles based on the single-nucleotide polymorphisms present in the ABO gene. Heterogeneity of O group alleles has been observed in various countries from South America, Europe, Middle East, and Asia. India is a vast country with more than 1300 million population which is divided into various ethnic and tribal groups. However, very little is known about the heterogeneity of O alleles in Indians. A total of 116 O group individuals from the mixed population of Mumbai, India, were enrolled in the present study. DNA was extracted using the standard phenol-chloroform method. The exons 6 and 7 of the ABO gene were genotyped by polymerase chain reaction-single-strand conformation polymorphism and/or DNA sequencing. The genotyping results were compared with our earlier findings. Overall, ten different genotypes were identified. Three rare alleles, namely, O05, O11, and O26 were seen in the mixed group category. These results suggest that there is an internal heterogeneity in the mixed group while Dhodias and Parsis, the groups which were screened earlier, seem to be more homogenous groups. An important piece of information emerges out from this study, that is, O01O02 genotype is expressing some selective force in population groups screened in India as well as many other groups worldwide. In the future, molecular genotyping of the ABO blood group system among different ethnic and tribal Indian groups would help in generating data to fill up the gaps in the molecular ABO map of the world.

  8. Eesti Memento Liidu tööst nimekirjade koostamisel aastail 1989-2004 / Peep Varju

    Index Scriptorium Estoniae

    Varju, Peep

    2007-01-01

    1991. aasta sügisel sõlmiti leping Eesti Riigiarhiivi ja Vene Föderatsiooni Arhiiviameti vahel. 1992. aasta juulis alustas tööd Okupatsioonide repressiivpoliitika uurimise riiklik komisjon (ORURK). ORURKi andmete võrdlus Memento tulemustega. Olulise tähtsusega andmete kogumisel oli töine kontakt Tomskis elava Vadim Maķejeviga, kelle abiga avanesid täies ulatuses kohalikud arhiivid. Uurimistöö tulemusena ilmunud väljaannetest

  9. El moep y el Peep Luces amarillas en el tablero de las decisiones empresariales

    Directory of Open Access Journals (Sweden)

    Alfredo Kaplan

    2009-10-01

    Full Text Available Entre la variada gama de posibilidades que debe manejar uma organizacion, en el momento de tomar decisiones o politicas con respecto a lineas de producto, puntos de yenta etc., es posible que se plantee la eleccion de continuar con la produccion o comercializacion de un determinado producto o servicio.

  10. Kes kaitseks Eesti ohvitsere NKVD-KGB laimu eest? / Peep Varju

    Index Scriptorium Estoniae

    Varju, Peep

    2008-01-01

    Autor polemiseerib Eesti Ekspressis ilmunud artiklitega Eesti endiste ohvitseride kohta, kus käsitletakse nende väidetavat koostööd KGBga. Vaatluse all on ohvitserid Ain Mere, Harald Nugiseks, Alfons Rebane ja Harald Riipalu

  11. Prügiveo hind hakkab olenema inimesest endast / Peep Aaviksoo ; interv. Jaan Rõõmussaar

    Index Scriptorium Estoniae

    Aaviksoo, Peep, 1956-

    2004-01-01

    Ilmunud ka: Stolitsa, 5. nov. 2004, lk. 3. AS-i Tallinna Prügila taotles prügi ladestamishinna tõstmist, ettevõtlusameti hinna ja tarbijakaitse osakond pidas taotletavat hinda liiga kõrgeks. Tallinna abilinnapea vastab küsimustele prügimajanduse kota

  12. Politsei on tsiviilühiskonna lihased / Ignar Fjuk ; interv. Peep Lillemägi

    Index Scriptorium Estoniae

    Fjuk, Ignar, 1953-

    2001-01-01

    Ilmunud ka: Nädaline, 18. sept. 2001, lk. 6; Meie Maa, 18. sept. 2001, lk. 2; Virumaa Teataja, 20. sept. 2001, lk. 7; Valgamaalane, 20. sept. 2001, lk. 2; Vooremaa, 25. sept. 2001, lk. 2. Hinnang politseireformi sildi all toimunud koondamistele. Autor: Reformierakond. Parlamendisaadik

  13. Kuues üritus tõi Roman Šebrlele maailmameistritiitli / Raigo Pajula, Peep Pahv

    Index Scriptorium Estoniae

    Pajula, Raigo, 1971-

    2007-01-01

    32-aastane tšehh Roman Šeberle on nüüd mitmevõistlejana triumfeerinud kõikidel tiitlivõistlustel. Jaapanis Osakas sai ta MMi kuldmedali. Esimest korda suurvõistlusel osalenud Andres Raja sai 16. koha

  14. Johan Kõpu pärand on mitmekülgne / Peep Pillak

    Index Scriptorium Estoniae

    Pillak, Peep

    2008-01-01

    rets. rmt.: Rohtmets, Priit. Rektor Johan Kõpp / toimetaja Mart Orav; resümeede tõlge: saksa keelde Reet Bender, inglise keelde Saskia Kangro, vene keelde A & A Lingua; kujundus Kalle Toompere. Tallinn : Aasta Raamat, 2007. 144 lk.

  15. Rastotshitelstvo - glavnaja problema tsentristskoi upravõ / Remo Holsmer ; interv. Peep Lillemägi

    Index Scriptorium Estoniae

    Holsmer, Remo, 1980-

    2008-01-01

    Tallinna linnavolikogu Eesti Reformierakonna fraktsiooni esimehe hinnangul ajab Keskerakond Tallinnas riigi omale vastandlikku poliitikat, tähelepanu on suunatud vaid Lasnamäel ja Põhja-Tallinnas elavatele toetajatele. Reformierakonna fraktsioon on algatanud eelnõu lasteaedadele makstava nn. pearaha tõstmise kohta 2009. a. ja teinud ettepaneku vähendada maamaksu

  16. Vabale turule pole alternatiivi / Johnny Munkhammar ; interv. Lillemägi, Peep

    Index Scriptorium Estoniae

    Munkhammar, Johnny

    2008-01-01

    Konverentsil Restart esinenud Rootsi majandusanalüütik ja kommentaator võrdleb praegust kriisi 1929. aasta omaga, tema arvates on tegu poliitikute möödalaskmistega, mitte turumajanduse läbikukkumistega. Nüüd oli vaja valitsuste sekkumist, kuid kaugemas perspektiivis pole valitsuste sekkumine turumehhanismide toimimisse õige

  17. Peeping thread from a laparotomy scar: Misery of an old man

    Directory of Open Access Journals (Sweden)

    Ramesh Aggarwal

    2012-01-01

    Full Text Available Despite availability of modern methods of various surgical techniques for treating complicated patients, there are still some unreported incidents in day to day practice where simple surgical procedure ends up in unwanted complications. This may be attributed sometimes to the negligence of treating doctors and sometime to the patient himself. We present here one such case where unnecessary morbidity added to the patient after surgery.

  18. Kuusalus saab rattad alla autotreileritööstus / Peep Talimaa

    Index Scriptorium Estoniae

    Talimaa, Peep

    2008-01-01

    OÜ-le Trucks & Trailers kuuluvast Kuusalu treileritehasest. Lisa: Kuusalu treileritehase ajalugu ja eellugu; Autotreileri valmimine; Üldandmeid treilerite kohta; Kuusalu treileritehase ajalugu ja eellugu

  19. Nuclear physics in India: a perspective and a peep into future

    International Nuclear Information System (INIS)

    Hans, H.S.

    1986-01-01

    Research in the field of nuclear physics in India began some 40 years ago. A brief account of the research activities in both experimental and theoretical nuclear physics is given. It is noted, that the research so far made and being conducted does not match the international standards. So far no new experimental or calculational techniques in accelerator technology has been developed in India. So also no new experiment based on an experimental or theoretical idea developed for the first time in India has been performed. Reasons for giving high priority to the development of nuclear physics as one of the most basic subjects of physics are discussed. Programmes for future must be formulated in such a way that the available funds are put to optimum use. For this purpose it is suggested that: (1) there should be a partnership between universities and the Department of Atomic Energy in setting up of the experimental facilities, (2) there should be corresponding change in the administrative procedures of the universities (3) collaborative programmes with foreign countries should be taken up with the aim of achieving self-sufficiency and to raise the level of research to that of international standards, (4) an attempt should be made to develop an Asian Centre of Nuclear Physics in India which should house a proton synchrotron and a high energy linear accelerator around which research activities in medium energy range can be developed, (5) the universities should be encouraged to develop strong theoretical nuclear physics centres, and (6) schools of theoretical nuclear physics around very good senior research scientists should be developed. (M.G.B.)

  20. Millised mõtted on peidus parimate töösturite peas? / Peep Talimaa

    Index Scriptorium Estoniae

    Talimaa, Peep

    2008-01-01

    Ettevõtluse Auhind 2008 parima tööstusettevõtte tiitli võitnud AS Favor edu põhjustest, tulevikuperspektiividest ja ootustest riigile. Vt. samas: Eesti parimad ettevõtted on ABB ja Tallink Grupp. Lisa: Konkursi "Ettevõtluse auhind 2008" laureaadid ja kandidaadid

  1. Eesti tipprallimehed koondusid ühise kaubamärgi alla / Peep Pahv

    Index Scriptorium Estoniae

    Pahv, Peep, 1970-

    2008-01-01

    WRC-sarjas osalevad Urmo Aava ja Kuldar Sikk, PWRC-sarjas startivad Martin Rauam ja Silver Kütt ning juunioride sarjas sõitvad Jaan Mölder ja kaardilugeja Frederic Miclotte on tänavusteks võistlusteks registreerinud võistkonna World Rally Team Estonia

  2. Universiteedi instituudid / Peep Nemvalts ; kommenteerivad Peeter Vihma, Hagi Šein, Andi Kivinukk

    Index Scriptorium Estoniae

    Nemvalts, Peep

    2007-01-01

    Tallinna ülikooli struktuuri muutustest ning terminite instituut, teaduskond ja osakond kasutusest, sisaldab sotsioloogia magistrandi, Rahvusvaheliste ja Sotsiaaluuringute Instituudi riigiteaduste osakonna assistendi Peeter Vihma, Balti Filmi- ja Meediakooli direktori Hagi Šeini, matemaatika-loodusteaduskonna dekaani Andi Kivinuki kommentaare

  3. Jahindus = Hunting / Jüri Tõnisson, Kaarel Roht, Peep Männil

    Index Scriptorium Estoniae

    Tõnisson, Jüri, 1946-

    2007-01-01

    Jahimeeste poolt loendatavate ulukite arvukus ja küttimine. Statistilised andmed 1985-2005. aasta jahihooajast. Põdra arvukus ja küttimine 1960-2005. Erinevate jahiulukite populatsioonide seisund Eesti metsades. Tabelid, diagrammid, graafikud

  4. Jahindus = Hunting / Jüri Tõnisson, Kaarel Roht, Peep Männil

    Index Scriptorium Estoniae

    Tõnisson, Jüri, 1946-

    2008-01-01

    Jahimeeste poolt loendatavate ulukite arvukus ja küttimine. Statistilised andmed 1985-2006. aasta jahihooajast. Põdra arvukus ja küttimine 1960-2006. Erinevate jahiulukite populatsioonide seisund Eesti metsades. Tabelid, diagrammid, graafikud

  5. A Peep into the Uncertainty-Complexity-Relevance Modeling Trilemma through Global Sensitivity and Uncertainty Analysis

    Science.gov (United States)

    Munoz-Carpena, R.; Muller, S. J.; Chu, M.; Kiker, G. A.; Perz, S. G.

    2014-12-01

    Model Model complexity resulting from the need to integrate environmental system components cannot be understated. In particular, additional emphasis is urgently needed on rational approaches to guide decision making through uncertainties surrounding the integrated system across decision-relevant scales. However, in spite of the difficulties that the consideration of modeling uncertainty represent for the decision process, it should not be avoided or the value and science behind the models will be undermined. These two issues; i.e., the need for coupled models that can answer the pertinent questions and the need for models that do so with sufficient certainty, are the key indicators of a model's relevance. Model relevance is inextricably linked with model complexity. Although model complexity has advanced greatly in recent years there has been little work to rigorously characterize the threshold of relevance in integrated and complex models. Formally assessing the relevance of the model in the face of increasing complexity would be valuable because there is growing unease among developers and users of complex models about the cumulative effects of various sources of uncertainty on model outputs. In particular, this issue has prompted doubt over whether the considerable effort going into further elaborating complex models will in fact yield the expected payback. New approaches have been proposed recently to evaluate the uncertainty-complexity-relevance modeling trilemma (Muller, Muñoz-Carpena and Kiker, 2011) by incorporating state-of-the-art global sensitivity and uncertainty analysis (GSA/UA) in every step of the model development so as to quantify not only the uncertainty introduced by the addition of new environmental components, but the effect that these new components have over existing components (interactions, non-linear responses). Outputs from the analysis can also be used to quantify system resilience (stability, alternative states, thresholds or tipping points) in the face of environmental and anthropogenic change (Perz, Muñoz-Carpena, Kiker and Holt, 2013), and through MonteCarlo mapping potential management activities over the most important factors or processes to influence the system towards behavioral (desirable) outcomes (Chu-Agor, Muñoz-Carpena et al., 2012).

  6. Avati mälestuskivi Heinrich Marga sünnikohas / Peep Pillak ; Peeter Margna

    Index Scriptorium Estoniae

    Pillak, Peep, 1957-

    2008-01-01

    1. oktoobril 2008 avati mälestuskivi Heinrich Margale (1. oktoober 1911 - 2. august 2004) Põlvamaal Kõlleste vallas Ihamaru külas Otsa talus. Heinrich Mark õppis Tartu Ülikooli õigusteaduskonnas aastatel 1933-1938. Lisatud Peeter Margna sõnavõtt Heinrich Marga mälestuskivi avamisel

  7. Peeping through heart′s window: A case report of Fallots tetralogy

    Directory of Open Access Journals (Sweden)

    Bhowate R

    2005-03-01

    Full Text Available Tetralogy of Fallot is a congenital heart defect. A combination of four abnormalities in heart allow oxygen rich and oxygen-depleted blood to mix. The resulting low-oxygen blood then circulates through the body. A child with the condition tends to develop slowly, eat poorly and grow slowly and may experience "blue" spells on crying and dyspnea on exertion. A 12 year old child with this congenital heart defect and cleft palate with cleft lip is discussed. Details of the latest diagnostic and treatment procedures are also presented.

  8. Kas Margaret Thatcher oli ikka naine? / Kadi Viik ; interv. Kalev Kesküla, Harry Liivrand, Margit Tõnson

    Index Scriptorium Estoniae

    Viik, Kadi

    2005-01-01

    Sotsiaalministeeriumi soolise võrdõiguslikkuse osakonna juhataja Kadi Viik korraldab rahvusvahelise konverentsi "New Masculinity Tallinn 2005" (Uus mehelikkus). Lisaks nimekiri: Eesti nais(kultuuri)juhte

  9. Johan Benadie : Eesti tööstusfirmadel maailmaklassini veel pikk tee astuda / Johan Benadie ; interv. Raul Kalev

    Index Scriptorium Estoniae

    Benadie, Johan

    2004-01-01

    Eesti tööstusettevõtteid külastas tööstusettevõtetele suunatud koolitusprogrammi "20 Keys" eestvedaja. "20 Keys" aitab Benadie sõnul tööstusettevõte tootlikkust suurendada. Lisa: Mis on "20 Keys"

  10. Metafüüsika magma pinnapealsuse shlaki all / Mati Sirkel ; interv. Kalev Kesküla

    Index Scriptorium Estoniae

    Sirkel, Mati

    2004-01-01

    Tõlkija Mati Sirkel oma raamatust "Orva-aastad". Ka tööst Eesti Kirjanike Liidu esimehena ning kirjaniku kohast ühiskonnas. Vastukaja: Vaher, Berk. Kas kirjanik vajab komissari? // Eesti Ekspress (2004) 5. aug., lk. B9

  11. Juhan Parts : "Ma ei tea, kas Pärnu linnale on vaja "munspaad"" / Juhan Parts ; interv. Kalev Vilgats

    Index Scriptorium Estoniae

    Parts, Juhan, 1966-

    2007-01-01

    Majandus- ja kommunikatsiooniminister Juhan Parts vastab oma visiidil Pärnusse nii Pärnu ettevõtlust, linna eduvalemit, kohalikku transpordiühendust, Rail Baltica projekti ning Pärnu lennujaama puudutavatele küsimustele. Lisa: CV

  12. Kalev ja Rae vald tülitsevad tehase reovee pärast / Garel Püüa

    Index Scriptorium Estoniae

    Püüa, Garel

    2006-01-01

    Kalevi kommivabriku heitvee reostustase ületab kohati kümme korda tehase ehitamisel taotletud taset, Rae valla veepuhasti ei suuda nii suurt koormust taluda. Kalevi õigusteeninduse juhi Allan Viirma sõnul ei ole vald väljastanud Kalevile reovee eelpuhastite rajamiseks projekteerimistingimusi. Kommenteerib Rae vallavanem Raivo Uukkivi

  13. Hääleõiguse piirang kapitaliühingu huvide kaitse abinõuna / Kalev Saare

    Index Scriptorium Estoniae

    Saare, Kalev, 1974-

    2016-01-01

    Seadusjärgse hääleõiguse piirangu vastavusest selle instituudi eesmärkidele. Seostest ühingu ja vähemusliikmete kaitse süsteemis, selle instituudi subjektilisest ulatusest, sisulisest ulatusest liikmega tehingu tegemise näitel ning hääleõiguse piirangu rikkumise õiguslikest tagajärgedest. Sisaldab asjakohast kohtupraktikat

  14. Eesti tööstuse areng on vaid kohalike ettevõtjate kätes / interv. Raul Kalev

    Index Scriptorium Estoniae

    2008-01-01

    Ilmunud ka: Postimees : na russkom jazõke : Tehnika i Proizvodstvo 9. juuni lk. 1,4-5. Vestlusringis Eesti tööstuse perspektiividest osalesid majandus- ja kommunikatsiooniminister Juhan Parts, lehtmetalli töötleva AS Favor omanik Almar Proos, AS Baltika juht Meelis Milder ja tööandjate keskliidu juht Tarmo Kriis

  15. Esindusorgani liikme käitumise omistamisest eraõiguslikule juriidilisele isikule seoses vastutuse küsimusega / Kalev Saare

    Index Scriptorium Estoniae

    Saare, Kalev, 1974-

    2003-01-01

    Praktilise õiguselu seisukohalt ühest olulisimast küsimusest, milleks on eraõigusliku juriidilise isiku vastutus. Uus tsiviilseadustiku üldosa seadus tõi kaasa olulisi muudatusi juriidilise isiku õigusliku regulatsiooni osas

  16. Evelin Ilves tegi transrasvadele ära

    Index Scriptorium Estoniae

    2010-01-01

    Proua Evelin Ilves kritiseeris kommivabriku Kalev toodangut transrasvhapete sisalduse pärast. Kalev Chocolate Factory on nüüdseks kõigi oma maiustuste valmistamisel loobunud hüdrogeenimata taimsete rasvade kasutamisest

  17. Tusov tegi sõber Kruudaga head äri / Agnes Ojala

    Index Scriptorium Estoniae

    Ojala, Agnes

    2008-01-01

    Kalev Real Estate Company (Kalev REC) müüs BCA Center OÜ OÜ-le Raldon. Kalevi õigusteeninduse juht Allan Viirma selgitab ettevõtte müümist. Vt. samas: Kalev Spordis jääb spordile vähem ruumi

  18. Kruuda lahkub Kalevi tütarettevõtete juhi kohalt

    Index Scriptorium Estoniae

    2006-01-01

    Vt. ka Postimees : na russkom jazõke 28. juuli lk. 4. AS-i Kalev suuromanik Oliver Kruuda lahkub Kalevi tütarettevõtete AS Kalev Chocolate Factory, AS Kalev Jõhvi Tootmine ja AS Vilma juhataja kohalt, tütarfirmade juhatuse esimeheks nimetatakse Kalevi senine müügi- ja teenindusdirektor Kati Kusmin

  19. Peeping into human renal calcium oxalate stone matrix: characterization of novel proteins involved in the intricate mechanism of urolithiasis.

    Directory of Open Access Journals (Sweden)

    Kanu Priya Aggarwal

    Full Text Available BACKGROUND: The increasing number of patients suffering from urolithiasis represents one of the major challenges which nephrologists face worldwide today. For enhancing therapeutic outcomes of this disease, the pathogenic basis for the formation of renal stones is the need of hour. Proteins are found as major component in human renal stone matrix and are considered to have a potential role in crystal-membrane interaction, crystal growth and stone formation but their role in urolithiasis still remains obscure. METHODS: Proteins were isolated from the matrix of human CaOx containing kidney stones. Proteins having MW>3 kDa were subjected to anion exchange chromatography followed by molecular-sieve chromatography. The effect of these purified proteins was tested against CaOx nucleation and growth and on oxalate injured Madin-Darby Canine Kidney (MDCK renal epithelial cells for their activity. Proteins were identified by Matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF MS followed by database search with MASCOT server. In silico molecular interaction studies with CaOx crystals were also investigated. RESULTS: Five proteins were identified from the matrix of calcium oxalate kidney stones by MALDI-TOF MS followed by database search with MASCOT server with the competence to control the stone formation process. Out of which two proteins were promoters, two were inhibitors and one protein had a dual activity of both inhibition and promotion towards CaOx nucleation and growth. Further molecular modelling calculations revealed the mode of interaction of these proteins with CaOx at the molecular level. CONCLUSIONS: We identified and characterized Ethanolamine-phosphate cytidylyltransferase, Ras GTPase-activating-like protein, UDP-glucose:glycoprotein glucosyltransferase 2, RIMS-binding protein 3A, Macrophage-capping protein as novel proteins from the matrix of human calcium oxalate stone which play a critical role in kidney stone formation. Thus, these proteins having potential to modulate calcium oxalate crystallization will throw light on understanding and controlling urolithiasis in humans.

  20. Suur põgenemine 1944 : eestlaste lahkumine läände ning selle mõjud / Peep Pillak

    Index Scriptorium Estoniae

    Pillak, Peep, 1957-

    2005-01-01

    Välis-Eesti uuringute keskuse ja Rootsi Eesti saatkonna korraldatud teaduskonverensist (Tartu, 22. okt. 2004), kus arutluse all oli 1944. a. suur põgenemine läände ja selle mõjud tänasesse päeva

  1. Giving peeps to my props: Using 3D printing to shed new light on particle transport in fractured rock.

    Science.gov (United States)

    Walsh, S. D.; Du Frane, W. L.; Vericella, J. J.; Aines, R. D.

    2014-12-01

    Smart tracers and smart proppants promise new methods for sensing and manipulating rock fractures. However, the correct use and interpretation of these technologies relies on accurate models of their transport. Even for less exotic particles, the factors controlling particle transport through fractures are poorly understood. In this presentation, we will describe ongoing research at Lawrence Livermore National Laboratory into the transport properties of particles in natural rock fractures. Using three dimensional printing techniques, we create clear-plastic reproductions of real-world fracture surfaces, thereby enabling direct observation of the particle movement. We will also discuss how particle tracking of dense particle packs can be further enhanced by using such specially tailored flow cells in combination with micro-encapsulated tracer particles. Experimental results investigating the transport behavior of smart tracers and proppants close to the neutrally buoyant limit will be presented and we will describe how data from these experiments can be used to improve large-scale models of particle transport in fractures. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344.

  2. Omavalitsuste ühinemine väärib tähelepanu ja toetust / Peep Aru

    Index Scriptorium Estoniae

    Aru, Peep, 1953-

    2004-01-01

    Ilmunud ka: Võrumaa Teataja, 27. märts 2004, lk. 2; Harjumaa, 30. märts 2004, lk. 2; Hiiu Leht, 30. märts 2004, lk. 2; Koit, 30. märts 2004, lk. 6; Vali Uudised, 31. märts 2004, lk. 2; Valgamaalane, 1. apr. 2004, lk. 2; Sakala, 2. apr. 2004, lk. 2; Põhjarannik, 2. apr. 2004, lk. 2; Severnoje Poberezhje, 2. apr. 2004, lk. 2; Nädaline, 6. apr. 2004, lk. 4; Vooremaa, 13. apr. 2004, lk. 2; Meie Maa, 13. apr. 2004, lk. 2. Reformierakonna toetusest omavalitsuste kiirele ühinemisele

  3. Kolonel Arthur von Buxhoevedeni (VR 1/2) ja tema abikaasa Kira ümbermatmine kodumaa mulda / Peep Pillak

    Index Scriptorium Estoniae

    Pillak, Peep, 1957-

    2015-01-01

    Vabadusristi kavaler kolonel Arthur von Buxhoeveden ja tema abikaasa Kira sängitati sõjaväeliste austusavaldustega kodumaa mulda Tallinna Kaitseväe kalmistul 12. septembril. Kolonel Arthur von Buxhoeveden'i elukäigust

  4. Eesti NSV julgeolekukomitee esimees sõpru võitmas ja inimesi mõjustamas / Peep Pillak

    Index Scriptorium Estoniae

    Pillak, Peep, 1957-

    2016-01-01

    Hoiuraamatukokku jõudnud trükistest. ENSV KGB esimehe Karl Kortelaineni pühenduse ja allkirjaga trükisest. Tegemist on koopiaga Dale Carnegie raamatust "Kuidas võita sõpru ja mõjustada inimesi" vene keeles

  5. Complejo residencial económico y popular - P.E.E.P. - Nueva Liguria – Italia

    Directory of Open Access Journals (Sweden)

    Ceroni, Eugenio

    1979-03-01

    Full Text Available This article describes the construction of a building compound, built with government funds. This group contains, besides the housing units, both in 21 m-high tower form and in 18 m-high elongated building, a series of public and private services, namely: — Parking lots. — Underground garages. — Landscaped areas. — Play and sports grounds. — Religious, social, medical, cultural, and shopping centres, etc.

    Se describe en este artículo la realización de un complejo de edificios, construidos con ayuda estatal. Este complejo, además de los edificios destinados a viviendas —cuya tipología varía desde edificios-torre, con una altura de 21 m, hasta edificios lineales con una altura de 18 m—, está dotado de una serie de servicios públicos y privados tales como: — Aparcamientos. — Garajes subterráneos. — Zonas verdes. — Campos de juego. — Centros religioso, social, médico, cultural, comercial, etc.

  6. Act on Gender: A Peep into Intra-Household Water Use in the Australian Capital Territory (ACT) Region

    Science.gov (United States)

    Lahiri-Dutt, Kuntala; Harriden, Kate

    2008-01-01

    Intra-household water use and management from a gender perspective has remained a relatively under-researched theme in developed countries. Australia is no exception, with the lack of research particularly evident in the many rural and peri-urban communities. These communities have experienced significant water scarcity in recent years. In this…

  7. IMF soovitab uue töölepinguseaduse kiiresti vastu võtta / Peep Lillemägi

    Index Scriptorium Estoniae

    Lillemägi, Peep, 1967-

    2008-01-01

    Ilmunud ka: Tallinnskii Vestnik juuli 2008, lk. 3. Eestis viibinud IMF-i delegatsiooni hinnangul sõltub Eesti majanduskasvu taastumine suurel määral majanduse konkurentsivõimest, delegatsioon toetab kavatsust leida edasisi võimalusi kokkuhoiuks ning soovitab töölepinguseaduse eelnõu kiiresti vastu võtta ja ellu viia. Rahandusminister Ivari Padari arvamus IMF-i hinnangute kohta

  8. Rakverre Pauluse kirik - Kalevi hall - Pärdi muusikamaja = St. Paul's Church - Kalev Hall - Pärt Music House / Raul Järg

    Index Scriptorium Estoniae

    Järg, Raul, 1973-

    2009-01-01

    Rakvere linna peaarhitekt, žürii liige Raul Järg rahvusvahelisest arhitektuurivõistlusest, mille ülesandeks oli pakkuda lahendus Rakvere Pauluse kiriku kasutuselevõtmiseks Arvo Pärdi muusikamajana ja kirikuesise väljaku ümberkujundamiseks, auhinnatud töödest. 1. preemia said Kristiina Aasvee, Kristiina Hussar ja Anne Kose (Celander Projekt)

  9. Töö vastuvõtmine ja töövõtja vastutus ehitusvigade eest / Piia Kalamees, Kalev Saare, Karin Sein

    Index Scriptorium Estoniae

    Kalamees, Piia, 1983-

    2010-01-01

    Töö vastuvõtmise kohustusest, töö valmimise ja vastuvõtmise õiguslikust tähendusest ja mõjust, töövõtja vastutuse ulatusest ja vastutusmudeli erisustest, ehitustöö valmiduse määratlemisest. Eesti ja Saksamaa seaduste ja kohtupraktika võrdlev analüüs

  10. Advokaadi huvide konflikt kutsereeglites ja praktikas : [bakalaureusetöö] / Kalev Mändmaa ; Tartu Ülikool, õigusteaduskond ; juhendaja: Jaan Ginter

    Index Scriptorium Estoniae

    Mändmaa, Kalev

    2003-01-01

    Huvide konflikti mõiste ja üldreeglid (Eesti, Euroopa Liit, Saksamaa, Austria, Ameerika Ühendriigid) ; erireeglid - tehingud ja rahalised suhted kliendiga (advokaat-klient tehingute üldreeglid), äriühingud kliendina, advokaaditasu hüvitamine kolmanda isiku poolt, endised kliendid, huvide konflikti laienemine kaastöötajatele ; huvide konflikti tagajärg

  11. Viljandimaa käsitöömeistritest rakendusantropoloogia vaatenurgast / Priit-Kalev Parts, Madis Rennu, Liisi Lääts... [jt.

    Index Scriptorium Estoniae

    2009-01-01

    Rakendusantropoloogia olemusest. Tartu Ülikooli Vijandi Kultuuriakadeemia projekti „Viljandimaa käsitööklastri väljaarendamine“ käigus tehtud välitööde tulemustest ja ümarlaua järeldustest. Viljandimaa käsitöömeistrite, eriti meeste traditsioonilise ehituse ja puutöönduse olukorrast ning käsitöövaldkonna arendamise võimalustest.

  12. Rahvatantsuharrastus paguluseestlaste hulgas ja selle roll eestluse säilimisel / Iivi Zajedova, Eha Rüütel, Angela Arraste, Kalev Järvela

    Index Scriptorium Estoniae

    2009-01-01

    Artikkel toetub Saksamaal pagulaseestlaste hulgas läbi viidud uurimusele, mille eesmärgiks oli intervjuude kaudu saada pagulaseestlaste kogemuslik tagasivaade eesti rahvatantsurühmade tekkimisele ja arengule ning seda mõjutanud teguritele Saksamaa Liitvabariigis pärast Teist maailmasõda

  13. Rahvaarv esialgse hinnangu järgi, 1. jaanuar 2008 = Preliminary number of population, 1 January 2008 / Kalev Noorkõiv

    Index Scriptorium Estoniae

    Noorkõiv, Kalev

    2007-01-01

    2008. aasta esimese jaanuari seisuga oli Eesti rahvaarv esialgse hinnangu kohaselt 1 340 600. Tabelid. Graafik. Vt. samas: Registreeritud rahvastikusündmused, detsember 2007 = Registered vital events, December 2007

  14. Hinnatõus otsib pääsu. Siseturu seis pessimistlik / Tea Taruste ; kommenteerinud Kalev Kõnn, Meelis Einstein, Aldo Unga

    Index Scriptorium Estoniae

    Taruste, Tea

    2011-01-01

    Ehitusmaterjalide tootjate liidu tegevjuhi Enno Rebase hinnangul on ehitusmaterjalide hinnatõus vältimatu, sest sisendid lähevad kallimaks ja kokkuhoidu pole enam võimalik millegi arvel saavutada, kuid suuremat hinnatõusu võib takistada siseturu väike nõudlus. Vineeri hind on tõusnud 20-30%, OSB tõusis 15%

  15. Kuidas kaasajal mõtestada rahvuslust? / ref. Urmi Reinde

    Index Scriptorium Estoniae

    2008-01-01

    Keskerakonna noortekogu korraldatud konverentsil "Kuidas kaasajal mõtestada rahvuslust?" peetud ettekannete refereeringud: Edgar Savisaar, Leif Kalev, Ahto Lobjakas, Indrek Neivelt, Iris Pettai, Andrei Hvostov, Rein Ruutsoo

  16. Changes in ventilatory mechanics caused by variations in PEEP and pressure support: study in healthy subjects under non-invasive mechanical ventilation

    Directory of Open Access Journals (Sweden)

    Isabel Cristina Muñoz

    2017-04-01

    Conclusions: The proposed technique allowed to find compliance and resistance values consistent with those set in the mechanical simulator, which, in turn, coincide with those reported in the literature for healthy subjects. This information is useful for decision-making in intensive care units..

  17. Õigushariduse akrediteerimise õiguslikest alustest ja protsessist Eestis (Tartu Ülikooli õigusteaduskonna näitel) / Kalle Merusk, Raul Narits, Peep Pruks

    Index Scriptorium Estoniae

    Merusk, Kalle, 1949-

    1998-01-01

    Õigusteaduse õppekavade akrediteerimisest eri kõrgkoolides ning Tartu Ülikooli õigusteaduskonna tegevusest. Lisatud ülevaade olulisematest teadustöödest Tartu Ülikooli avaliku õiguse instituudis ja eraõiguse instituudis 1997. a. ning Tartu Ülikooli õigusteaduskonnas 1993.-1998. a. kaitstud magistritööde ja teaduskonna õppejõudude poolt mujal kaitstud tööde nimekiri

  18. On legal bases and process of accreditation of teaching of law in Estonia (University of Tartu Faculty of Law case) / Kalle Merusk, Raul Narits, Peep Pruks

    Index Scriptorium Estoniae

    Merusk, Kalle, 1949-

    1998-01-01

    Õigusharidust andvate õppeasutuste akrediteerimisest; Tartu Ülikooli õigusteaduskonnast ning selle avaliku õiguse ja eraõiguse instituutidest, õppeprogrammist, magistri- ja doktoriõppest ning teadustegevusest. Lisatud andmed 1993.-1998. a. kaitstud teadustööde kohta, õppejõudude osalemise kohta seaduseelnõude ettevalmistamisel ning publikatsioonide kohta

  19. Juridica minevikust, tulevikust ja veebist 200. numbri künnisel / Peep Pruks ; komment. Hanno Pevkur, Priit Pikamäe, Norman Aas ...[jt.

    Index Scriptorium Estoniae

    Pruks, Peep, 1963-

    2013-01-01

    Vastused küsimusele, mida on Juridica seni andnud kasulikku ja mida ootaksite ajakirjalt tulevikus rohkem. Valiku statistilistest andmetest, mida Google Analyticsi abil on võimalik veebis Juridica kasutamise kohta tuvastada. Tabel. Graafikud

  20. Julgesti, vennad, nüüd tööle : haiglajuht seletab valitsusele, et vajalik palgaraha on haigekassa reservis / Peep Põdder

    Index Scriptorium Estoniae

    Põdder, Peep, 1964-

    2007-01-01

    Jõgeva haigla juhataja kirjutab tervishoiuprobleemidest, pidades tervishoidu esimeseks julgeolekuküsimuseks ning kritiseerides ekssotsiaalminister Eiki Nestori tegevust ja andes nõu sotsiaalminister Jaak Aabile

  1. Õigusteaduse osa Eesti õiguskorra kujunemises : teaduskonverents professor Kalle Meruski 60. juubeli auks / koost. Peep Pruks. K. Meruski bibliograafia: Maia Ruttu

    Index Scriptorium Estoniae

    2009-01-01

    Sisu: Programm. Õigusteaduse rollist Eesti Vabariigi põhiseaduse aluspõhimõtete sisustamisel / Raul Narits. Keskkonnaõiguse kodifitseerimise teaduslikud alused / Hannes Veinla. "Kord Vestmann peal ja Piibeleht all, siis jälle..." : praktika ja õigusteaduse vahekord õiguse kujundamisel 19. sajandi Läänemereprovintsides / Marju Luts-Sootak. Teaduslik analüüs tsiviilõigusloomes / Paul Varul. Õiguslaenud ja võrdlev õigusteadus Eesti eraõiguse süsteemi kujundamisel / Irene Kull. Professor Meruski juubeliks / Märt Rask. Kolleegi kiituseks / Raul Narits. Professor Kalle Merusk : õpetaja ja inimene / Ivo Pilving. Kalle Merusk : valikbibliograafia 1990-2009 / koost. Maia Ruttu

  2. A randomized pilot study comparing the role of PEEP, O2 flow, and high-flow air for weaning of ventilatory support in very low birth weight infants

    Directory of Open Access Journals (Sweden)

    Chang-Yo Yang

    2018-04-01

    Full Text Available Background: There is a lack of evidence to guide step-wise weaning of positive pressure respiratory support for premature infants. This study sought to compare the efficacy of three weaning protocols we designed to facilitate weaning of very low birth weight (VLBW, less than 1500 g preterm infants from nasal continuous positive airway pressure (NCPAP support. Methods: This was a prospective, randomized, controlled trial of VLBW preterm infants who received positive pressure ventilatory support in our neonatal intensive care unit (NICU from April 2008 through March 2009. When these infants were weaned to CPAP as their last step of respiratory support, they would be randomly assigned to one of the following three groups as their further weaning methods (M: (M1 CPAP group, (M2 O2 flow group, and (M3 air flow group. The time period they needed to wean off any kind of respiratory support, as well as the likelihood of developing relevant prematurity related morbidities, were compared among patients using different weaning modalities. Results: 181 patients were enrolled in the study. Their gestational age (GA and birth weight (BW were 29.1 ± 2.5, 28.7 ± 2.4, 28.7 ± 2.4 (mean ± SD weeks and 1142 ± 232, 1099 ± 234, 1083 ± 219 g, in M1, M2 and M3, respectively. The time (period needed to wean off support was 16.0 ± 10.0 days (M1, 11.6 ± 6.4 days (M2, and 15.0 ± 8.9 days (M3, respectively (p = .033. Incidence of retinopathy of prematurity (ROP and bronchopulmonary dysplasia (BPD were both significantly higher in the O2 flow group (p = .048. Conclusions: Although using low oxygen flow significantly shortens CPAP weaning time, it may increase risks of BPD and ROP, both known to be related to oxygen toxicity. Unless the infant has BPD and is O2-dependent, clinicians should consider using air flow or just splinting with no support at all when weaning NCPAP. Key Words: weaning, nasal continuous positive airway pressure, very low birth weight, nasal air flow

  3. Evelin Ilves: Kalevi kommid on kräpp / Arvo Uustalu

    Index Scriptorium Estoniae

    Uustalu, Arvo, 1964-

    2009-01-01

    Proua Evelin Ilves kritiseeris kommivabriku Kalev toodangut transrasvhapete sisalduse pärast. Kommenteerivad ASi Kalev Chocolate Factory turundus- ja müügidirektor Monika Heinrand, suhtekorraldaja Ruth Roht ning toitumisteadlased Selma Teesalu, Mai Maser ja Tagli Pitsi. Vt. samas: Transrasvad põhjustavad rasvumist

  4. Vilma lõpetab leivateo / Marko Suurmägi

    Index Scriptorium Estoniae

    Suurmägi, Marko, 1975-

    2008-01-01

    Vilma emafirma Kalev Chocolate Factory juhatuse liikme Mait Nilsoni sõnul jagab Kalev jahutoodete tegemise Jõhvi ja Viljandi ettevõtte vahel nii, et leiba ja saia hakatakse küpsetama Jõhvis ning Viljandisse koondub tortide, kookide ja jahusegude valmistamine. Lisa: Ajalugu

  5. Taanduva Kruuda asemele astub ambitsioonikas Kusmin / Harry Tuul

    Index Scriptorium Estoniae

    Tuul, Harry

    2006-01-01

    Ilmunud ka: Delovõje Vedomosti 2. aug. lk. 7. Kalevi müügi- ja teenindusdirektor Kati Kusmin asub juhtimisest taanduva Oliver Kruuda asemele Kalevi tütarfirmade AS-i Kalev Chocolate Factory, AS-i Vilma ja AS-i Kalev Jõhvi Tootmine juhatuses. Lisa: Kati Kusmini CV. Vt. samas: Kruuda: taandun suuresti isiklikel põhjustel

  6. Kruuda ostab Werolit Sõõrumaa abil / Martin Hanson

    Index Scriptorium Estoniae

    Hanson, Martin, 1984-

    2006-01-01

    Kondiitritööstus Kalev teatas, et sõlmis kokkuleppe U.S. Invest AS-iga, mille kohaselt AS Kalev omandab 50% suuruse osaluse Weroli aktsiatele kõrgeima pakkumise teinud Dovelin Baltic OÜ-s, mis kuulub Urmas Sõõrumaale

  7. Fourth Generation War: Paradigm for Change

    Science.gov (United States)

    2005-06-01

    PARADIGM FOR CHANGE by Ghanshyam Singh Katoch June 2005 Thesis Advisor : Kalev Sepp Second Reader...Approved by: Kalev Sepp Thesis Advisor Douglas Borer Second Reader Gordon McCormick Chairman, Department of Defense...combination of all the resources of the government, not just the army. d. Economy of Effort A Robo -Soldier is a small, tracked, electrically powered vehicle

  8. Hemodynamic responses to external counterbalancing of auto-positive end-expiratory pressure in mechanically ventilated patients with chronic obstructive pulmonary disease.

    Science.gov (United States)

    Baigorri, F; de Monte, A; Blanch, L; Fernández, R; Vallés, J; Mestre, J; Saura, P; Artigas, A

    1994-11-01

    To study the effect of positive end-expiratory pressure (PEEP) on right ventricular hemodynamics and ejection fraction in patients with chronic obstructive pulmonary disease and positive alveolar pressure throughout expiration by dynamic hyperinflation (auto-PEEP). Open, prospective, controlled trial. General intensive care unit of a community hospital. Ten patients sedated and paralyzed with an acute exacerbation of chronic obstructive pulmonary disease undergoing mechanical ventilation. Insertion of a pulmonary artery catheter modified with a rapid response thermistor and a radial arterial catheter. PEEP was then increased from 0 (PEEP 0) to auto-PEEP level (PEEP = auto-PEEP) and 5 cm H2O above that (PEEP = auto-PEEP +5). At each level of PEEP, airway pressures, flow and volume, hemodynamic variables (including right ventricular ejection fraction by thermodilution technique), and blood gas analyses were recorded. The mean auto-PEEP was 6.6 +/- 2.8 cm H2O and the total PEEP reached was 12.2 +/- 2.4 cm H2O. The degree of lung inflation induced by PEEP averaged 145 +/- 87 mL with PEEP = auto-PEEP and 495 +/- 133 mL with PEEP = auto-PEEP + 5. The PEEP = auto-PEEP caused a right ventricular end-diastolic pressure increase, but there was no other significant hemodynamic change. With PEEP = auto-PEEP + 5, there was a significant increase in intravascular pressures; this amount of PEEP reduced cardiac output (from 4.40 +/- 1.38 L/min at PEEP 0 to 4.13 +/- 1.48 L/min; p 10% in only five cases and this group of patients had significantly lower right ventricular volumes than the group with less cardiac output variation (right ventricular end-diastolic volume: 64 +/- 9 vs. 96 +/- 26 mL/m2; right ventricular end-systolic volume: 38 +/- 6 vs. 65 +/- 21 mL/m2; p < .05) without significant difference in the other variables that were measured. Neither right ventricular ejection fraction nor right ventricle volumes changed as PEEP increased, but there were marked interpatient

  9. Vähemusosaluse omajate võimalused kapitaliühingu huvidele vastava otsuseni jõudmiseks. Kahju hüvitamise näide / Kalev Saare, Maris Vutt

    Index Scriptorium Estoniae

    Saare, Kalev, 1974-

    2017-01-01

    Vähemusosaluse omajate võimalustest enamusosalejate passiivsuse, vastuseisu, lubamatu hääletamisel osalemise või hääletustulemuste ebaõige tuvastamise korral kapitaliühingu huvidele vastava otsuseni jõudmiseks. Sisaldab asjakohast kohtupraktikat ja võrdlust Saksa õigusega

  10. Eluruumi üürniku õiguste kaitse üüri ühepoolse suurendamise ja ebamõistliku suuruse korral : [bakalaureusetöö] / Martin Kalberg ; Tartu Ülikooli Õigusinstituut ; juhendaja: Kalev Saare

    Index Scriptorium Estoniae

    Kalberg, Martin

    2006-01-01

    Üüri suuruse ajalooline ülevaade ja võrdlus, üüri suurus eluruumi üürilepingu olulise osana, üüri ühepoolse suurendamise võimalused, üürniku vaidlustamisvõimalused üüri suurendamise korral

  11. Setting individualized positive end-expiratory pressure level with a positive end-expiratory pressure decrement trial after a recruitment maneuver improves oxygenation and lung mechanics during one-lung ventilation.

    Science.gov (United States)

    Ferrando, Carlos; Mugarra, Ana; Gutierrez, Andrea; Carbonell, Jose Antonio; García, Marisa; Soro, Marina; Tusman, Gerardo; Belda, Francisco Javier

    2014-03-01

    We investigated whether individualized positive end-expiratory pressure (PEEP) improves oxygenation, ventilation, and lung mechanics during one-lung ventilation compared with standardized PEEP. Thirty patients undergoing thoracic surgery were randomly allocated to the study or control group. Both groups received an alveolar recruitment maneuver at the beginning and end of one-lung ventilation. After the alveolar recruitment maneuver, the control group had their lungs ventilated with a 5 cm·H2O PEEP, while the study group had their lungs ventilated with an individualized PEEP level determined by a PEEP decrement trial. Arterial blood samples, lung mechanics, and volumetric capnography were recorded at multiple timepoints throughout the procedure. The individualized PEEP values in study group were higher than the standardized PEEP values (10 ± 2 vs 5 cm·H2O; P decrement trial than with a standardized 5 cm·H2O of PEEP.

  12. Edgari paralleelne ühiskond / Argo Ideon

    Index Scriptorium Estoniae

    Ideon, Argo, 1966-

    2008-01-01

    Autor leiab, et Keskerakonna esimees Edgar Savisaar on rajamas omaenda suveräänset maailma, ning toob selle kohta näiteid: vapimärgid vs teenetemärgid, vabaduskell vs vabadussammas, Kalev Sport vs ETV

  13. Linnastumist hakatakse uurima kosmosest = Urbanisation will be studied from space / Piret Tali

    Index Scriptorium Estoniae

    Tali, Piret, 1972-

    2014-01-01

    Tartu Ülikooli füüsikud Kaupo Voormansik ja Karlis Zalite ning geograaf Kalev Koppel on loonud veebikaardi, mis aitab uurida linnastumist. Andmeid hakkab koguma Euroopa Komisjoni satelliit Sentinel-1

  14. Koda = Koda / Ülar Mark, Kariina Kristiina Kaufmann, Kadri Tonto ; kommenteerinud Katrin Koov

    Index Scriptorium Estoniae

    Mark, Ülar, 1968-

    2016-01-01

    Minimalistliku vormiga eramu KODA Tallinnas, Järvekalda tee 33. Autorid Ülar Mark, Taavi Jakobson, Hannes Tamjärv, Kalev Ramjalg, Marek Strandberg. Arhitektid Ülar Mark, Kariina Kristiina Kaufmann, Kadri Tonto, Hannes Praks

  15. 99% maaelu arengukavast võib saada heakskiidu / Heli Raamets

    Index Scriptorium Estoniae

    Raamets, Heli, 1975-

    2007-01-01

    Maaelu arengukava (MAK), mille alusel jagataks Eestile 14,5 miljardit krooni, ootab novembris Euroopa Liidu heakskiitu. Vt. samas: Euroopa Liidu maaelu arengukavadest; Kommenteerivad: Kalev Kreegipuu, Kaul Nurm, Silvia Lotman, Margus Timmo

  16. Bez kota mõsham razdolje / Jevgeni Kapov

    Index Scriptorium Estoniae

    Kapov, Jevgeni

    2004-01-01

    Sillamäe linnapea Ain Kiviorgi ja Vaivara vallavanema Veiko Luhalaidi kohtumisest Politseiameti peadirektori Robert Antropovi ja Ida politseiprefekti Kalev Prillopiga, kus arutati seoses politseireformiga Sillamäe regioonis tekkinud korrakaitse probleeme

  17. Uus omanik liidab Kalevi vabriku Poola tehasega / Andrus Karnau

    Index Scriptorium Estoniae

    Karnau, Andrus

    2007-01-01

    Kommivabriku Kalev ja piimatööstuse Tere uus omanik Indrek Rahumaa kavatseb ettevõtted liita Poola kommivabrikuga Mieszko ja Läti piimakombinaadiga Piensaimnieks, mille on ostnud Rahumaa enamusosalusega investeerimisfirma Alta Capital Partners. Lisa: CV

  18. PR, patriotism ja olupoliitika / Evi Arujärv

    Index Scriptorium Estoniae

    Arujärv, Evi, 1953-

    2009-01-01

    Proua Evelin Ilves kritiseeris kommivabriku Kalev toodangut transrasvade sisalduse pärast. Artikli autor analüüsib sellest hargnenud üldrahvalikku muljetevahetust kui väärtusmaailmade kokkupõrget

  19. Kaasaegse kunsti muuseum suurendab panuseid - Köler Prize / Hanno Soans

    Index Scriptorium Estoniae

    Soans, Hanno, 1974-

    2011-01-01

    Eesti Kaasaegse Kunsti Muuseumi loodud kaasaegse kunsti preemiast. 6. juunini EKKM-is avatud Köler Prize 2011 nominentide - Dénes Kalev Farkas, Tõnis Saadoja, Timo Toots, Sigrid Viir, Jevgeni Zolotko - näitusest

  20. Ainult parim võidab / Martin Rünk

    Index Scriptorium Estoniae

    Rünk, Martin, 1982-

    2011-01-01

    Köler Prize 2011 nominentide (Dénes Kalev Farkas, Tõnis Saadoja, Timo Toots, Sigrid Viir, Jevgeni Zolotko) näitus Eesti Kaasaegse Kunsti Muuseumis 5. juunini. Esimest aastat väljaantavast autasust

  1. Köler värskele kunstile / Anders Härm ; intervjueerinud Kadri Karro

    Index Scriptorium Estoniae

    Härm, Anders, 1977-

    2011-01-01

    Köler Prize 2011 nominentide (Dénes Kalev Farkas, Tõnis Saadoja, Timo Toots, Sigrid Viir, Jevgeni Zolotko) näitus Eesti Kaasaegse Kunsti Muuseumis 30. aprillist 5. juunini. Preemia asutamisest ja nominentide valikust

  2. Tartu meer õigustab küsitavat maatehingut / Laine Jänes ; interv. Andrus Karnau

    Index Scriptorium Estoniae

    Jänes, Laine, 1964-

    2007-01-01

    Tartu linnapea vastab küsimustele, mis on seotud Tartu linnavalitsuse maadevahetuse tehinguga Reformierakonnaga seotud ettevõtjate Verni Loodmaa, Kalev Kase ja Alar Kroodo firmaga Kvintett Kinnisvara

  3. Kaitsevägi pani printerikulu summaga kümme korda mööda

    Index Scriptorium Estoniae

    2014-01-01

    Vastukaja 8. mail Eesti Päevalehes ilmunud artiklile "Tahad rahu, muretse printer". Artiklit kommenteerivad Kaitseväe logistikakeskuse ülem kolonelleitnant Kalev Koidumäe ja peaminister Taavi Rõivas

  4. Suurtootjad veavad Rae vallaga vägikaigast vee pärast / Villy Paimets

    Index Scriptorium Estoniae

    Paimets, Villy, 1972-

    2007-01-01

    Rae valla veefirma AS Elveso on vaidlustes magusavabriku Kalev, kaupluseketi Rimi suurköögi ja pelmeenitootjaga Uvic, süüdistades ettevõtteid heitvee liigses reostamises. Lisa: Taust; Uvicil pole probleeme

  5. Rae nahaalne skeem soosis lemmikuid / Nils Niitra

    Index Scriptorium Estoniae

    Niitra, Nils, 1975-

    2007-01-01

    Tartu linnavalitsuse maadevahetuse tehingust Reformierakonnaga seotud ettevõtjate Verni Loodmaa, Kalev Kase ja Alar Kroodo firmaga Kvintett Kinnisvara. Skeem: Maadevahetus linnavalitsuse tagatoas. Vt. samas: Lihtinimest ähvardab sundvõõrandamine

  6. KIK pidas sünnipäeva / Endrik Tõnsberg

    Index Scriptorium Estoniae

    Tõnsberg, Endrik

    2005-01-01

    11. mail 2005. a. andsid Keskkonnainvesteeringute Keskuse viienda sünnipäeva puhul ajakirjanikele pressikonverentsi KIK-i nõukogu esimees, keskkonnaminister Villu Reiljan, KIK-i juhataja Kalev Aun ja programmijuht Heiko Põdersalu

  7. Alessi : unistuste vabrik : 8 / Alberto Alessi

    Index Scriptorium Estoniae

    Alessi, Alberto

    1999-01-01

    Itaalia firma Alessi juures töötavate firmade Battista Piazza ja Tendentse toodangust. Alessandro Mendini projektist: 1992. a. anti standardne vaas kujundada sajale kunstnikule (nende hulgas Kalev Mark Kostabi). 30 illustratsiooni

  8. Jõulukaartide karm olelusvõitlus / Anneli Aasmäe

    Index Scriptorium Estoniae

    Aasmäe, Anneli, 1973-

    2001-01-01

    Eesti kunstnike kujundatud postkaartide valmistamise võimalused tänapäeva Eestis. Turu on vallutanud Hallmark Cards. Jõulukaartide saatmise kombest. Kommivabriku "Kalev" joonistusvõistluse võitis Margus Krassi kaart

  9. Ehe seep Eesti moodi / Anneli Aasmäe

    Index Scriptorium Estoniae

    Aasmäe, Anneli, 1973-

    2008-01-01

    Produtsent Kristian Taska Kalev Spordis näidatav Venezuela seebiseriaali Eesti oludele mugandatud variant "Kalevi naised" : lavastaja Ingomar Vihman : osades Andrus Vaarik, Anne Reemann, Piret Kalda, Ken Saan jt.

  10. Kalevi uus omanik tahab ettevõtte eksportima panna / Raigo Neudorf ; kommenteerinud Kuldar Leis, Kati Kusmin, Vjatšeslav Leedo

    Index Scriptorium Estoniae

    Neudorf, Raigo

    2010-01-01

    AS-i Kalev Chocolate Factory osta sooviv Orkla kontrerni esindajate kinnitusel hakatakse edaspidi toodangut eksportima nii Balti- kui Põhjamaadesse. Enne varade üleminekut uuele omanikule tuleb ära oodata Kalevi aktsiate aresti alt vabanemine. Diagramm

  11. Kruuda sai Kalevi eest ligi 33 miljonit eurot. Norra kontserni aruanne paljastab ostusumma / Kadrin Karner

    Index Scriptorium Estoniae

    Karner, Kadrin

    2011-01-01

    Orkla Group'i majandusaasta aruande kohaselt müüs Oliver Kruuda suurosalusega Luterma 2010. a. mais Kalev Chocolate Factory ja küpsisetootmise Norra taustaga toidukontsernile ligi 33 miljoni euro eest

  12. Tootest olulisemaks saab ärimudel. Kandiline arbuus tavalisest 30 korda kallim / Ain Alvela ; kommenteerinud Janek Kalvi

    Index Scriptorium Estoniae

    Alvela, Ain, 1967-

    2011-01-01

    Eesti Arengufondi juhatuse esimehe Ott Pärna, ASi Kalev Chocolate Factory juhataja Kaido Kaare ja ASi Balsnack International Holding juhatuse esimehe Elmar Rusingu ettekannetest toiduainetööstuse aastakonverentsil "Uue tõusu ootuses". Graafik

  13. Keskerakond võitles töörahva õiguste eest kella kaheni öösel / Andrus Karnau, Artur Sadovski

    Index Scriptorium Estoniae

    Karnau, Andrus

    2008-01-01

    Töölepinguseaduse eelnõu teisest lugemisest riigikogus. Lisatud: töölepinguseaduse uuendused ; Kaire Uuseni intervjuu Kalev Chocolate Factory personalijuhi Kärt Kirsoga: Ettevõtjad aimavad töövaidluste arvu kasvu

  14. Leil on kõva! : dokumentaalne lugemisdraama neljas pildis. Volüüm 2 / Madis Jürgen

    Index Scriptorium Estoniae

    Jürgen, Madis, 1962-

    1999-01-01

    Miks tahavad poliitikud Sauna tänavale teatrit? Tegelased: Krista Siilats, Jaan Tamm, Signe Kivi, Jüri Kuuskemaa, Margus Allikmaa, Krista Kodres, Kalev Kallo, Tiina Mägi, Silvi Lindma-Pihlak, Eino Baskin, Mart Laar.

  15. Coaching näitab töötajast hoolimist / Urve Vilk

    Index Scriptorium Estoniae

    Vilk, Urve

    2012-01-01

    Konverentsil "Arengukompass 2012: uue ajastu organisatsiooni arendusvahendid" esinenud juhtimiskoolitaja ja sertifitseeritud coach'i Ivar Lukki, Elioni tehnoloogiadirektori Kalev Reiljani ja superviisori Katrin Aava Tallinna Ülikoolist sõnavõttudest

  16. Golõshom i publitshno / Sofja Bauer, Tiia Linnard

    Index Scriptorium Estoniae

    Bauer, Sofia, 1947-2001

    1998-01-01

    Ida-Virumaa kunstnike kevadnäitusest Jõhvis, kujundas Aleksandr Igonin. Tutvustatakse osalevaid kunstnikke : Kalev Prits (Pump), Aleksandr Igonin, Aira ja Mati Rautso, Ljudmila Maisurjan, Andres Malõgin, Irja Annus, Juri Horev jt.

  17. Kaks mõrva ühes mesilasperes ehk laibarida ei tule / Lauri Tabur ; interv. Enno Tammer

    Index Scriptorium Estoniae

    Tabur, Lauri, 1974-

    2005-01-01

    Keskkriminaalpolitsei ülem vastab küsimustele, mis puudutavad Tallinna koolitüdruku Veronika Dari, eestikeelse allilma väidetava liidri Kalev Kure ning ärimees Kauri Koppeli mõrvu Tallinnas. Lisa: Kiirarvamus

  18. Kes on šõuilma tuntuimad (pool)eestlased? / Priit Pullerits

    Index Scriptorium Estoniae

    Pullerits, Priit, 1965-

    2009-01-01

    Eesti päritolu maailmas tuntud meelelahutusmaailmas osalejatest (Mena Suvari, Ornella Muti, Miliza Korjus, Kalev Mark Kostabi, Edmund Valtman, Erika Eleniak, Alar Kivilo, Ants Robert Kristian Luuk, Sonny Arahanga jt)

  19. Maksuameti eksjuht ostis 66000kroonise Picasso

    Index Scriptorium Estoniae

    1999-01-01

    Modernistliku kunsti klassikute näituselt galeriis "Vaal" osteti kaks Picasso keraamilist teost: "Curly Hair Face" omandas 66000 krooni eest Kalev Järvelill ja "Man's Face" 33000 krooni eest ERA-Panga pankrotihaldur Veli Kraavi.

  20. Mütsiga lüües : kuidas väärikalt vananeda? / Imbi Jeletsky

    Index Scriptorium Estoniae

    Jeletsky, Imbi

    2007-01-01

    Vt. ka Kesknädal 21. nov., lk. 12. ETV saates "Vabariigi kodanikud" arutleti vananemise teemal. Stuudios olid kirjanik Maimu Berg, rahvastikuteadlane Kalev Katus ja kunstnik Heinz Valk, saatejuht oli Aarne Rannamäe

  1. Meeleolumaailma peegel / Jan Piotrowski

    Index Scriptorium Estoniae

    Piotrowski, Jan

    2011-01-01

    Inimkäitumise ettearvamatusest ja ennustatavusest, meeleoluanalüüsist. Kalev Leetaru (Illinoisi ülikool) revolutsioonide ennustamise võimalikkusest. Osama bin Ladeni tõenäolise asukoha avastamisest

  2. Pragmaatika kui hea kunsti garant / Indrek Grigor

    Index Scriptorium Estoniae

    Grigor, Indrek, 1981-

    2007-01-01

    Tartu Kõrgema Kunstikooli diplomitöödest: Martti Poomi (S'Poom "Na'Miin") ja Asko Kikkuli (Iconcrash "My Sky") muusikavideotest, Kaisa Eiche teoreetilisest uurimusest "Kultuuritehase vajalikkus ja teostatavus Tartus", Carl-Christian Frey animafilmist "Pärastlõuna", Andrus Lauringsoni installatsioonist "Capaskoop", Berit Talpsepa robootilisest skulptuurist "Superheterodüünvastuvõtt", Eike Epliku installatiivsest skulptuurist "Ma saan aru, et ma ei ole orav", Anna-Stina Treumundi fotoinstallatsioonist "Vaikiv dialoog", Kalev Vapperi sotsiaalkollaazhist "Vapper Kalev lõpetab kooli"

  3. Rein Lang: Eesti kõige väärtuslikum ressurss on mõistus / Rein Lang ; interv. Peep Lillemägi ; komment. Siim Kallas, Jüri Pihl, Väino Linde

    Index Scriptorium Estoniae

    Lang, Rein, 1957-

    2009-01-01

    Justiitsminister Rein Lang vastab küsimustele, mis puudutavad Ameerika Ühendriike kui vabaduse kantsi, ettevõtlusvabadust Ameerika Ühendriikides ja Eestis, tööd justiitsministrina, varasemat karjääri, Eesti põhiseaduse loomist, Euroopa Liidu aluslepingu välja töötamist, avaliku võimu rolli tänapäeva maailmas ning Eesti jõudmist Euroopa rikkamate riikide hulka

  4. Clinical assessment of auto-positive end-expiratory pressure by diaphragmatic electrical activity during pressure support and neurally adjusted ventilatory assist.

    Science.gov (United States)

    Bellani, Giacomo; Coppadoro, Andrea; Patroniti, Nicolò; Turella, Marta; Arrigoni Marocco, Stefano; Grasselli, Giacomo; Mauri, Tommaso; Pesenti, Antonio

    2014-09-01

    Auto-positive end-expiratory pressure (auto-PEEP) may substantially increase the inspiratory effort during assisted mechanical ventilation. Purpose of this study was to assess whether the electrical activity of the diaphragm (EAdi) signal can be reliably used to estimate auto-PEEP in patients undergoing pressure support ventilation and neurally adjusted ventilatory assist (NAVA) and whether NAVA was beneficial in comparison with pressure support ventilation in patients affected by auto-PEEP. In 10 patients with a clinical suspicion of auto-PEEP, the authors simultaneously recorded EAdi, airway, esophageal pressure, and flow during pressure support and NAVA, whereas external PEEP was increased from 2 to 14 cm H2O. Tracings were analyzed to measure apparent "dynamic" auto-PEEP (decrease in esophageal pressure to generate inspiratory flow), auto-EAdi (EAdi value at the onset of inspiratory flow), and IDEAdi (inspiratory delay between the onset of EAdi and the inspiratory flow). The pressure necessary to overcome auto-PEEP, auto-EAdi, and IDEAdi was significantly lower in NAVA as compared with pressure support ventilation, decreased with increase in external PEEP, although the effect of external PEEP was less pronounced in NAVA. Both auto-EAdi and IDEAdi were tightly correlated with auto-PEEP (r = 0.94 and r = 0.75, respectively). In the presence of auto-PEEP at lower external PEEP levels, NAVA was characterized by a characteristic shape of the airway pressure. In patients with auto-PEEP, NAVA, compared with pressure support ventilation, led to a decrease in the pressure necessary to overcome auto-PEEP, which could be reliably monitored by the electrical activity of the diaphragm before inspiratory flow onset (auto-EAdi).

  5. Positive end expiratory pressure during one-lung ventilation: Selecting ideal patients and ventilator settings with the aim of improving arterial oxygenation

    Directory of Open Access Journals (Sweden)

    Hoftman Nir

    2011-01-01

    Full Text Available The efficacy of positive end-expiratory pressure (PEEP in treating intraoperative hypoxemia during one-lung ventilation (OLV remains in question given conflicting results of prior studies. This study aims to (1 evaluate the efficacy of PEEP during OLV, (2 assess the utility of preoperative predictors of response to PEEP, and (3 explore optimal intraoperative settings that would maximize the effects of PEEP on oxygenation. Forty-one thoracic surgery patients from a single tertiary care university center were prospectively enrolled in this observational study. After induction of general anesthesia, a double-lumen endotracheal tube was fiberoptically positioned and OLV initiated. Intraoperatively, PEEP = 5 and 10 cmH 2 O were sequentially applied to the ventilated lung during OLV. Arterial oxygenation, cardiovascular performance parameters, and proposed perioperative variables that could predict or enhance response to PEEP were analysed. T-test and c2 tests were utilized for continuous and categorical variables, respectively. Multivariate analyses were carried out using a classification tree model of binary recursive partitioning. PEEP improved arterial oxygenation by ≥20% in 29% of patients (n = 12 and failed to do so in 71% (n = 29; however, no cardiovascular impact was noted. Among the proposed clinical predictors, only intraoperative tidal volume per kilogram differed significantly between responders to PEEP and non-responders (mean 6.6 vs. 5.7 ml/kg, P = 0.013; no preoperative variable predicted response to PEEP. A multivariate analysis did not yield a clinically significant model for predicting PEEP responsiveness. PEEP improved oxygenation in a subset of patients; larger, although still protective tidal volumes favored a positive response to PEEP. No preoperative variables, however, could be identified as reliable predictors for PEEP responders.

  6. Effects of positive end-expiratory pressure titration and recruitment maneuver on lung inflammation and hyperinflation in experimental acid aspiration-induced lung injury.

    Science.gov (United States)

    Ambrosio, Aline M; Luo, Rubin; Fantoni, Denise T; Gutierres, Claudia; Lu, Qin; Gu, Wen-Jie; Otsuki, Denise A; Malbouisson, Luiz M S; Auler, Jose O C; Rouby, Jean-Jacques

    2012-12-01

    In acute lung injury positive end-expiratory pressure (PEEP) and recruitment maneuver are proposed to optimize arterial oxygenation. The aim of the study was to evaluate the impact of such a strategy on lung histological inflammation and hyperinflation in pigs with acid aspiration-induced lung injury. Forty-seven pigs were randomly allocated in seven groups: (1) controls spontaneously breathing; (2) without lung injury, PEEP 5 cm H2O; (3) without lung injury, PEEP titration; (4) without lung injury, PEEP titration + recruitment maneuver; (5) with lung injury, PEEP 5 cm H2O; (6) with lung injury, PEEP titration; and (7) with lung injury, PEEP titration + recruitment maneuver. Acute lung injury was induced by intratracheal instillation of hydrochloric acid. PEEP titration was performed by incremental and decremental PEEP from 5 to 20 cm H2O for optimizing arterial oxygenation. Three recruitment maneuvers (pressure of 40 cm H2O maintained for 20 s) were applied to the assigned groups at each PEEP level. Proportion of lung inflammation, hemorrhage, edema, and alveolar wall disruption were recorded on each histological field. Mean alveolar area was measured in the aerated lung regions. Acid aspiration increased mean alveolar area and produced alveolar wall disruption, lung edema, alveolar hemorrhage, and lung inflammation. PEEP titration significantly improved arterial oxygenation but simultaneously increased lung inflammation in juxta-diaphragmatic lung regions. Recruitment maneuver during PEEP titration did not induce additional increase in lung inflammation and alveolar hyperinflation. In a porcine model of acid aspiration-induced lung injury, PEEP titration aimed at optimizing arterial oxygenation, substantially increased lung inflammation. Recruitment maneuvers further improved arterial oxygenation without additional effects on inflammation and hyperinflation.

  7. Neonatal Pneumothorax Pressures Surpass Higher Threshold in Lung Recruitment Maneuvers: An In Vivo Interventional Study.

    Science.gov (United States)

    González-Pizarro, Patricio; García-Fernández, Javier; Canfrán, Susana; Gilsanz, Fernando

    2016-02-01

    Causing pneumothorax is one of the main concerns of lung recruitment maneuvers in pediatric patients, especially newborns. Therefore, these maneuvers are not performed routinely during anesthesia. Our objective was to determine the pressures that cause pneumothorax in healthy newborns by a prospective experimental study of 10 newborn piglets (pneumothorax. Animals under anesthesia and bilateral chest tube catheterization were randomly allocated to 2 groups: one with PEEP and fixed inspiratory driving pressure of 15 cm H2O (PEEP group) and the second one with PEEP = 0 cm H2O and non-fixed inspiratory driving pressure (zero PEEP group). In both groups, the ventilation mode was pressure-controlled, and PIP was raised at 2-min intervals, with steps of 5 cm H2O until air leak was observed through the chest tubes. The PEEP group raised PIP through 5-cm H2O PEEP increments, and the zero PEEP group raised PIP through 5-cm H2O inspiratory driving pressure increments. Pneumothorax was observed with a PIP of 90.5 ± 15.7 cm H2O with no statistically significant differences between the PEEP group (92 ± 14.8 cm H2O) and the zero PEEP group (89 ± 18.2 cm H2O). The zero PEEP group had hypotension, with a PIP of 35 cm H2O; the PEEP group had hypotension, with a PIP of 60 cm H2O (P = .01). The zero PEEP group presented bradycardia, with PIP of 40 cm H2O; the PEEP group presented bradycardia, with PIP of 70 cm H2O (P = .002). Performing recruitment maneuvers in newborns without lung disease is a safe procedure in terms of pneumothorax. Pneumothorax does not seem to occur in the clinically relevant PIPs of pneumothorax PIP in poorly compliant lungs. Copyright © 2016 by Daedalus Enterprises.

  8. Aaviksoo võistleb Donald Trumpiga

    Index Scriptorium Estoniae

    2007-01-01

    Peep Aaviksoole ja tema äripartneritele kuuluv IPC Investment tegeleb Rumeenias lisaks kinnisvarainvesteeringutele ka ehitusmaterjalide tootmisega. USA kinnisvaramagnaat Donald Trump on otsustanud riiki investeerida miljard eurot

  9. Alveolar Tidal recruitment/derecruitment and Overdistension During Four Levels of End-Expiratory Pressure with Protective Tidal Volume During Anesthesia in a Murine Lung-Healthy Model.

    Science.gov (United States)

    Soares, Joao Henrique Neves; Carvalho, Alysson Roncally; Bergamini, Bruno Curty; Gress, Maria Alice Kuster; Jandre, Frederico Caetano; Zin, Walter Araujo; Giannella-Neto, Antonio

    2018-06-01

    We compared respiratory mechanics between the positive end-expiratory pressure of minimal respiratory system elastance (PEEP minErs ) and three levels of PEEP during low-tidal-volume (6 mL/kg) ventilation in rats. Twenty-four rats were anesthetized, paralyzed, and mechanically ventilated. Airway pressure (P aw ), flow (F), and volume (V) were fitted by a linear single compartment model (LSCM) P aw (t) = E rs  × V(t) + R rs  × F(t) + PEEP or a volume- and flow-dependent SCM (VFDSCM) P aw (t) = (E 1  + E 2  × V(t)) × V(t) + (K 1  + K 2  × |F(t)|) × F(t) + PEEP, where E rs and R rs are respiratory system elastance and resistance, respectively; E 1 and E 2 × V are volume-independent and volume-dependent E rs , respectively; and K 1 and K 2  × F are flow-independent and flow-dependent R rs , respectively. Animals were ventilated for 1 h at PEEP 0 cmH 2 O (ZEEP); PEEP minErs ; 2 cmH 2 O above PEEP minErs (PEEP minErs+2 ); or 4 cmH 2 O above PEEP minErs (PEEP minErs+4 ). Alveolar tidal recruitment/derecruitment and overdistension were assessed by the index %E 2  = 100 × [(E 2  × V T )/(E 1  + |E 2 | × V T )], and alveolar stability by the slope of E rs (t). %E 2 varied between 0 and 30% at PEEP minErs in most respiratory cycles. Alveolar Tidal recruitment/derecruitment (%E 2   30) were predominant in the absence of PEEP and in PEEP levels higher than PEEP minErs , respectively. The slope of E rs (t) was different from zero in all groups besides PEEP minErs+4 . PEEP minErs presented the best compromise between alveolar tidal recruitment/derecruitment and overdistension, during 1 h of low-V T mechanical ventilation.

  10. Influence of Positive End-Expiratory Pressure on Myocardial Strain Assessed by Speckle Tracking Echocardiography in Mechanically Ventilated Patients

    Directory of Open Access Journals (Sweden)

    Federico Franchi

    2013-01-01

    Full Text Available Purpose. The effects of mechanical ventilation (MV on speckle tracking echocardiography- (STE-derived variables are not elucidated. The aim of the study was to evaluate the effects of positive end-expiratory pressure (PEEP ventilation on 4-chamber longitudinal strain (LS analysis by STE. Methods. We studied 20 patients admitted to a mixed intensive care unit who required intubation for MV and PEEP titration due to hypoxia. STE was performed at three times: (T1 PEEP = 5 cmH2O; (T2 PEEP = 10 cmH2O; and (T3 PEEP = 15 cmH2O. STE analysis was performed offline using a dedicated software (XStrain MyLab 70 Xvision, Esaote. Results. Left peak atrial-longitudinal strain (LS was significantly reduced from T1 to T2 and from T2 to T3 (. Right peak atrial-LS and right ventricular-LS showed a significant reduction only at T3 (. Left ventricular-LS did not change significantly during titration of PEEP. Cardiac chambers’ volumes showed a significant reduction at higher levels of PEEP (. Conclusions. We demonstrated for the first time that incremental PEEP affects myocardial strain values obtained with STE in intubated critically ill patients. Whenever performing STE in mechanically ventilated patients, care must be taken when PEEP is higher than 10 cmH2O to avoid misinterpreting data and making erroneous decisions.

  11. Oliver Kruuda müüb salaja Kalevi ja Tere / Piret Reiljan, Kristina Traks, Virge Lahe

    Index Scriptorium Estoniae

    Reiljan, Piret, 1983-

    2007-01-01

    Ilmunud ka: Delovõje Vedomosti 26. sept. lk. 9. Suuromanikud Oliver Kruuda, Heino Priimägi ja Aare Annus otsustasid müüa kondiitritööstuse Kalev ja piimatööstuse Tere investeerimisettevõttele Alta Capital ning keskenduda meediale ja kinnisvarale. Vt. samas: Kalevi aktsionäre oli koosolekul vaid käputäis; Finantsinspektsiooni kommentaar; Alta Capital; Diagramm: Kalev AS-i tütarfirmade käibed. Kommenteerivad Alari Purju, Heldur Meerits ja Toomas Kivimägi

  12. Positive end-expiratory pressure improves survival in a rodent model of cardiopulmonary resuscitation using high-dose epinephrine.

    LENUS (Irish Health Repository)

    McCaul, Conán

    2009-10-01

    Multiple interventions have been tested in models of cardiopulmonary resuscitation (CPR) to optimize drug use, chest compressions, and ventilation. None has studied the effects of positive end-expiratory pressure (PEEP) on outcome. We hypothesized that because PEEP can reverse pulmonary atelectasis, lower pulmonary vascular resistance, and potentially improve cardiac output, its use during CPR would increase survival.

  13. Pharmacologic Interventions to Improve Splanchnic Oxygenation During Ventilation with Positive End-Expiratory Pressure

    NARCIS (Netherlands)

    Fournell, A.; Scheeren, T. W. L.; Picker, O.; Schwarte, L. A.; Wolf, M; Bucher, HU; Rudin, M; VanHuffel, S; Wolf, U; Bruley, DF; Harrison, DK

    2012-01-01

    Mechanical ventilation with positive end-expiratory pressure (PEEP) is an indispensable tool in the management of respiratory failure to preserve or improve lung function and systemic oxygenation. However, PEEP per se may also, as has been shown in experimental animals, impair regional

  14. Salt Lake Cityst Torinoni / Olev Remsu

    Index Scriptorium Estoniae

    Remsu, Olev, 1947-

    2006-01-01

    Dokumentaalfilm Eesti suusameeskonna valmistumisest Torino olümpiamängudeks "Tiim" : idee autorid Peep Puks, Hans Roosipuu : režissöör Peep Puks : F-Seitse 2006. Esilinastus toimus 26. mail Otepääl, ETVs 31. mail

  15. Männik ohverdas Aaviksoo

    Index Scriptorium Estoniae

    2003-01-01

    Eesti Telekomi nõukogu otsusest vabastada ametist EMT juhatuse esimees Peep Aaviksoo, uuest kandidaadist Valdo Kalmust ning EMT ja Elioni võimalikust ühinemisest. Diagramm: EMT turuosa libiseb Tele2-le. Vt. samas: EMT lahkuva juhi Peep Aaviksoo avalik kiri. Kommenteerivad Sami Seppänen, Üllar Jaaksoo, Monika Salu, Jaak Aaviksoo, Toomas Tamsar

  16. Ma olen Turist, ma elan siin / Mait Väljas

    Index Scriptorium Estoniae

    Väljas, Mait

    2006-01-01

    Endise valuutapoe, praeguse klubi "Parlament" lammutamisplaanist Tallinnas Tartu mnt. 17. Arhitektid Peep Jänes ja Henno Sepmann, sisearhitekt Toivo Gans, sisekujundaja Aulo Padar. Ehitamisel osalesid ka soome arhitektid Kalle-Heiki Narinen ja Tapio Hänninen. Kommentaar Peep Jäneselt ja Aulo Padarilt

  17. Respiratory effects of low versus high tidal volume with or without positive end-expiratory pressure in anesthetized dogs with healthy lungs.

    Science.gov (United States)

    De Monte, Valentina; Bufalari, Antonello; Grasso, Salvatore; Ferrulli, Fabienne; Crovace, Alberto Maria; Lacitignola, Luca; Staffieri, Francesco

    2018-05-01

    OBJECTIVE To evaluate the impact of 2 tidal volumes (T V s) with or without positive end-expiratory pressure (PEEP) on lung mechanics, aeration, and gas exchange in healthy anesthetized dogs. ANIMALS 40 mixed-breed dogs with healthy lungs. PROCEDURES Anesthetized dogs were randomly assigned to 4 groups (n = 10/group) with different ventilatory settings: T V of 8 mL/kg and PEEP of 0 cm H 2 O (low T V group), T V of 8 mL/kg and PEEP of 5 cm H 2 O (low T V plus PEEP group), T V of 15 mL/kg and PEEP of 0 cm H 2 O (high T V group), or T V of 15 mL/kg and PEEP of 5 cm H 2 O (high T V plus PEEP group). Expired CO 2 and respiratory rate were titrated on the basis of a predetermined stepwise protocol. Gas exchange, respiratory mechanics, and pulmonary aeration were evaluated by means of CT 30 minutes after starting mechanical ventilation at the assigned setting. RESULTS Partial pressures of arterial and expired CO 2 were higher in the low T V and low T V plus PEEP groups than in the high T V and high T V plus PEEP groups. Peak and plateau airway pressures were higher in the PEEP group than in the other groups. Static lung compliance was higher in the high T V plus PEEP group than in the low T V group. Relative percentages of atelectatic and poorly aerated lung were lower in the high T V plus PEEP group than in the other groups. Oxygenation was similar among groups. CONCLUSIONS AND CLINICAL RELEVANCE Differences in T V and PEEP application during mechanical ventilation may affect respiratory function in anesthetized dogs with healthy lungs. Ventilation with a T V of 15 mL/kg and PEEP of 5 cm H 2 O significantly improved lung compliance and reduced the amount of atelectatic and poorly aerated lung.

  18. Protective intraoperative ventilation with higher versus lower levels of positive end-expiratory pressure in obese patients (PROBESE): study protocol for a randomized controlled trial.

    Science.gov (United States)

    Bluth, T; Teichmann, R; Kiss, T; Bobek, I; Canet, J; Cinnella, G; De Baerdemaeker, L; Gregoretti, C; Hedenstierna, G; Hemmes, S N; Hiesmayr, M; Hollmann, M W; Jaber, S; Laffey, J G; Licker, M J; Markstaller, K; Matot, I; Müller, G; Mills, G H; Mulier, J P; Putensen, C; Rossaint, R; Schmitt, J; Senturk, M; Serpa Neto, A; Severgnini, P; Sprung, J; Vidal Melo, M F; Wrigge, H; Schultz, M J; Pelosi, P; Gama de Abreu, M

    2017-04-28

    Postoperative pulmonary complications (PPCs) increase the morbidity and mortality of surgery in obese patients. High levels of positive end-expiratory pressure (PEEP) with lung recruitment maneuvers may improve intraoperative respiratory function, but they can also compromise hemodynamics, and the effects on PPCs are uncertain. We hypothesized that intraoperative mechanical ventilation using high PEEP with periodic recruitment maneuvers, as compared with low PEEP without recruitment maneuvers, prevents PPCs in obese patients. The PRotective Ventilation with Higher versus Lower PEEP during General Anesthesia for Surgery in OBESE Patients (PROBESE) study is a multicenter, two-arm, international randomized controlled trial. In total, 2013 obese patients with body mass index ≥35 kg/m 2 scheduled for at least 2 h of surgery under general anesthesia and at intermediate to high risk for PPCs will be included. Patients are ventilated intraoperatively with a low tidal volume of 7 ml/kg (predicted body weight) and randomly assigned to PEEP of 12 cmH 2 O with lung recruitment maneuvers (high PEEP) or PEEP of 4 cmH 2 O without recruitment maneuvers (low PEEP). The occurrence of PPCs will be recorded as collapsed composite of single adverse pulmonary events and represents the primary endpoint. To our knowledge, the PROBESE trial is the first multicenter, international randomized controlled trial to compare the effects of two different levels of intraoperative PEEP during protective low tidal volume ventilation on PPCs in obese patients. The results of the PROBESE trial will support anesthesiologists in their decision to choose a certain PEEP level during general anesthesia for surgery in obese patients in an attempt to prevent PPCs. ClinicalTrials.gov identifier: NCT02148692. Registered on 23 May 2014; last updated 7 June 2016.

  19. "on yks niisugune film..." : [luuletused] / [Mesikepp, Indrek] fs

    Index Scriptorium Estoniae

    fs, pseud., 1971-

    2007-01-01

    Sisu: "on yks niisugune film..." ; "kui kord Kalev koju jõuab..." ; "niisiis te arvate kõike teadvat..." ; "ytle mulle ausalt kastead..." ; "they are so bleak..." ; "yhel ööl ma tajusin surma..." ; "ma tundsin et see või veel juhtuda..." ; "kui kylm alumiiniumist joon..."

  20. Üliõpilasteatrid peavad Itaalias kongressi

    Index Scriptorium Estoniae

    2006-01-01

    Itaalia väikelinnas Urbinos lõpeb 27. juulil sealse ülikooli teatri Teatro Aenigma ja Rahvusvahelise Üliõpilasteatrite Assotsiatsiooni koostöös kuues tudengiteatrite maailmakongress. Eestist osaleb ja peab ettekande lavastaja ja Tartu Üliõpilasteatri kunstiline juht Kalev Kudu

  1. Arco Vara laieneb Bulgaariasse

    Index Scriptorium Estoniae

    2006-01-01

    Alates juunist tegutseb Bulgaarias Arco Vara Gruppi kuuluv maaklerfirma Arco Imoti EOOD, mis tegutseb rahvusvahelise kaubamärgi ARCO Real Estate all. Bulgaariasse on Eesti ettevõtetest oma tegevust laiendanud ka varahaldusfirma Delta Imoti Capital ja Kalev Real Estate Company kinnisvaraarendusega tegelev tütarettevõte Stude REC EOOD

  2. Neli vaadet tuumale ja näivusele / Märt Väljataga

    Index Scriptorium Estoniae

    Väljataga, Märt, 1965-

    2009-01-01

    Arvustus: Tuglas, Friedebert. Valik proosat / koostanud ja saatetekstid kirjutanud Jaan Undusk. Tallinn : Avita, 2009 ; Nietzsche, Friedrich. Tragöödia sünd. Tallinn : Tänapäev, 2009 ; Kesküla, Kalev. Elu sumedusest. Tallinn : Tuum, 2009 ; Sirkel, Mati. Uued orva-aastad. Kommentaarium. Tallinn : Tuum, 2009

  3. Brest-Litovski rahuleping ja Vladimir Putin / Küllo Arjakas

    Index Scriptorium Estoniae

    Arjakas, Küllo, 1959-

    2005-01-01

    Autor selgitab Venemaa presidendi Vladimir Putini möödalaskmisi ajalooküsimuste käsitlemisel 10. mail Moskvas toimunud pressikonverentsil. Bresti rahukõneluste ja rahulepingu ajaloost. Vt. samas: Kalev Vilgats. Vene presidendi must-valge maailm

  4. Kiviõli politsei jättis hätta neli korda abi palunud mehe / Frank Sprenk-Dorn

    Index Scriptorium Estoniae

    Sprenk-Dorn, Frank

    2004-01-01

    Kiviõli lähistel Erra külas kolm autovarast kinni pidanud Mati Vilumets süüdistab politseid tema väljakutsetele reageerimata jätmises, politsei hinnangul ei olnud tema kõned üheselt mõistetavad. Kommenteerib Ida politseiprefekt Kalev Prillop

  5. Naised käsu korras firmade juhatusse! Jah või ei? / Kairi Alt, Aveli Kippari, Karl Koort... [jt.

    Index Scriptorium Estoniae

    2011-01-01

    Küsimusele vastavad Columbus IT Partner Eesti AS personalijuht Kairi Alt, Stele ja Riveli omanik Aveli Kippari, AS Panaviatic'i turundusjuht Karl Koort, OÜ Tarkvara Tehnoloogia Arenduskeskuse tegevjuht Indrek Vainu, AS PricewaterhouseCoopers auditiosakonna direktor Eva Jansen, Kalev Chocolate Factory tootmisjuht Hardo Reinike

  6. "Kalevi naised" - komöödia, kus nalja ei tehta / Verni Leivak

    Index Scriptorium Estoniae

    Leivak, Verni, 1966-

    2008-01-01

    Produtsent Kristian Taska filmib Jüri tehnopargis Kalev Spordis näitamiseks Venezuela seebiseriaali Eesti oludele mugandust "Kalevi naised" (lavastaja Ingomar Vihman, telerežissöör Hermes Brambat, osades Maria Avdjuško, Andrus Vaarik, Jan Uuspõld, Britta Vahur, Ken Saan jt)

  7. Ettevaatust! Sünnib Eesti esimene päris telenovela / Mart Niineste

    Index Scriptorium Estoniae

    Niineste, Mart, 1983-

    2008-01-01

    Produtsent Kristian Taska filmib Jüri tehnopargis Kalev Spordis näitamiseks Venezuela seebiseriaali Eesti oludele mugandust "Kalevi naised" (lavastaja Ingomar Vihman, osades Maria Avdjuško, Toomas Zupping, Jan Uuspõld, Britta Vahur, Ken Saan jt). Filmivõtetelt

  8. Koda = Koda / Kadri Tonto

    Index Scriptorium Estoniae

    Tonto, Kadri

    2016-01-01

    Minimalistliku vormiga eramu KODA. Kontseptsiooni autorid Ülar Mark, Taavi Jakobson, Hannes Tamjärv, Kalev Ramjalg, Marek Strandberg; arhitektid Ülar Mark, Kariina Kristiina Kaufmann, Kadri Tonto, Hannes Praks. Eesti Arhitektide Liidu preemia "Väike 2013-2015" laureaat

  9. Faced with an alternative : A failed submarine deal / Magnus Ilmjärv

    Index Scriptorium Estoniae

    Ilmjärv, Magnus, 1961-

    2007-01-01

    Saksamaa soovist osta Eestilt allveelaevad Kalev ja Lembit. Kartus avaliku arvamuse, ühe osa sõjaväelaste ja ka Nõukogude Liidu reaktsiooni ees ning maa okupeerimine Nõukogude Liidu poolt olid põhjused, miks allveelaevade Saksamaale mahamüümine ei õnnestunud

  10. AGG Maailmameistrivõistluste eel

    Index Scriptorium Estoniae

    2008-01-01

    12.-14. juunini toimuvad Torontos Aesthetic Group Gymnastics (AGG) maailmameistrivõistlused Toronto Ülikooli võimlemiskeskuses. Nende võistluste korraldamise raske ülesande on võtnud oma õlule Kanada eestlaste võimlemisklubid Kalev Estienne ja Ritmika vastavalt Evelyn Koobi ja Annely Riga juhtimisel

  11. Ostetud lõputööga saaks ülikoolidiplomi kätte küll / Kristi Leppik

    Index Scriptorium Estoniae

    Leppik, Kristi

    2008-01-01

    Plagiaadist, autoriõigusest ja lõputööde ostmisest ajakirjandusliku eksperimendina korraldatud õigusteaduse bakalaureuse lõputöö hankimise näitel Kommenteerivad Tallinna Tehnikaülikooli ehitusteaduskonna dekaan Roode Liias, Akadeemia Nord õigusteaduste dekaan Aare Kruuser, Tartu Ülikooli majandusteaduskonna arenduspordekaan Jüri Sepp, Tallinna Ülikooli riigireaduste instituudi direktor Leif Kalev

  12. Short outlines of books by Estonian authors / Janika Kronberg and Rutt Hinrikus

    Index Scriptorium Estoniae

    Kronberg, Janika, 1963-

    2010-01-01

    Arvustus: Käsper, Kalle. Buridanid. I-V. Tallinn : Eesti Keele Sihtasutus, 2005-2010 ; Kivastik, Mart. Eesti asjad. Tartu : Kaks Musketäri, 2010 ; Kangro, Maarja. Ahvid ja solidaarsus. Tallinn : Eesti keele Sihtasutus, 2010 ; Põder, Rein. Unustatud. Tallinn : Eesti Raamat, 2010 ; Kesküla, Kalev. Elu sumedusest. Tallinn : Tuum, 2009 ; Pilv, Aare. Ramadaan. Tallinn : Tuum, 2010

  13. "Su mõte on see, mida elad" : vanadus / Kaire Nurk

    Index Scriptorium Estoniae

    Nurk, Kaire, 1960-

    2005-01-01

    Reet Varblase kuraatoriprojektist "Homo grandis natu" Tallinna Kunstihoones kuni 15. V. Tallinna Kunstikooli õpilaste (õpetaja Katrin Tukmann), Katarzyna Kozyra, Eveli Variku, Marge Monko, Piia Ruberi & Doris Kareva ja Mare Mikofi töödest, Tallinna Ülikooli audiovisuaalkunsti osakonnas tehtud filmidest (Elen Lotman, Jaak Kilmi, Kalev Hiller)

  14. Ledjanõje kopii izvestnõh pamjatnikov pojavilis v Tartu

    Index Scriptorium Estoniae

    2007-01-01

    Kuus meeskonda Tartu Kõrgemast Kunstikoolist, Tartu Ülikoolist ja Tartu lastekunstikoolist lõikasid välja jääskulptuure, mis kopeerisid Eestimaa tuntud monumente. Võidutöö autor oli Kalev Järvik taiesega ±Energia¬. Tema töö on koopia Riho Kulla Narvas asuvast samanimelisest skulptuurist

  15. Poliitikute soodsad majaostud jätavad jõuministrid külmaks / Tuuli Koch, Priit Rajalo

    Index Scriptorium Estoniae

    Koch, Tuuli

    2005-01-01

    Peaminister Andrus Ansipi ja justiitsministri Rein Langi suhtumisest majandusminister Edgar Savisaare Keila-Joa krundi ostusse. 500 000 krooni eest ostis kinnistu Keila-Joal ka ärimees Raimo Kägule kuuluv firma OÜ Marriot. Lisa: Savisaare küsitavad tehingud. Vt. samas: Politseimaja rent toob Oliver Kruudale miljoneid. Kommenteerib ASi Kalev Real Estate Company nõukogu liige Oliver Kruuda

  16. Uus kunst ootab vaatajaid augusti lõpuni

    Index Scriptorium Estoniae

    2006-01-01

    Pärnu Uue Kunsti Muuseumi kollektsiooni esitlus "Sünnitus" Viljandis. Vaadata on Yoko Ono, Kalev Mark Kostabi, Edward Lucie-Smithi, Martin Garcia Rivera, Leonhard Lapini, Peeter Lauritsa, Enn Põldroosi jt. teosed. Reedeti on loomepäevad. 18. augustil näitab oma töid ja kõneleb Mark Soosaar

  17. Lenz, Eestis unustatud geenius / Riina Mägi

    Index Scriptorium Estoniae

    Mägi, Riina, 1957-

    2001-01-01

    Tartus toimunud rahvusvahelise Lenzi-konverentsi (Jakob Michael Reinhold Lenz) publik nägi väljasõidul Põltsamaale Lenzi kirjutatud näidendit "Haavatud peigmees", mis esitati Tartu üliõpilasteatri poolt Põltsamaa lossihoovis. Lav. Kalev Kudu

  18. Ettevõtted panustavad eelarve koostamisel järjest enam spetsialistide täiendkoolitusse / Madli Kents

    Index Scriptorium Estoniae

    Kents, Madli

    2005-01-01

    AS-i Kalev koolitusspetsialist Gerli Jõgi, Hansapanga koolituse ostujuht Katrin Kase ja AS-i Eesti Energia koolitusjuht Erge Heido selgitavad, millele pööratakse tähelepanu nende ettevõttes koolituseelarve koostamisel ning annavad ülevaate rakendatavatest koolitusvormidest. Vt. samas: Marja Liis. Esiplaanil on teenindajad

  19. Poliitikud ei leidnud staadioni planeeringule uusi lahendusi / Eno-Gerrit Link

    Index Scriptorium Estoniae

    Link, Eno-Gerrit

    2008-01-01

    Riigikogu Pärnumaa saadikuteühenduse ja Pärnu linnavõimu esindajate ning spordiseltsi Kalev juhtide nõupidamine Kalevi staadioni ümberehituse käimalükkamiseks lõppes tulemusteta, sest kõiki osapooli rahuldava tulemuseni ei jõutud. Kommenteerivad Mark Soosaar ja Vello Järvesalu

  20. Kruuda tahab Kalevi ja Tere ikkagi Altale müüa / Hindrek Riikoja

    Index Scriptorium Estoniae

    Riikoja, Hindrek

    2008-01-01

    Oliver Kruuda firmade Kalev ja Tere müügiläbirääkimiste katkemisest Altaga. Alta Capitali juhi Indrek Rahumaa sõnul loodetakse müügilepinguni jõuda aasta teises pooles. Lisa: Mille üle läbi räägiti

  1. Ebaõnnestunud müügitehing tõi Kalevile kohtuasja ja varade aresti / Dannar Leitmaa

    Index Scriptorium Estoniae

    Leitmaa, Dannar, 1982-

    2008-01-01

    Harju maakohus andis loa arestida Oliver Kruudale kuuluva Kalevi ja selle tütarfirmade varad, kuna Alta Foodsi poolt Kalevi toiduainetööstuse omandamiseks makstud kuus miljonit eurot tagatisraha kuulub väljamaksmisele tehingu katkemise korral. Lisa: Kalev nõuab 141 miljonit krooni

  2. Vahejuhtum kassas / Krister Kivi

    Index Scriptorium Estoniae

    Kivi, Krister, 1975-

    2008-01-01

    Alta Capitali juhist Indrek Rahumaa karjäärist ja varasematest tehingutest. Oliver Kruuda firmade Kalev ja Tere müügiläbirääkimiste katkemine võib Rahumaale kaasa tuua 141 miljoni kroonise finantskaotuse. Lisa: Indrek Rahumaa

  3. Dzhentelmenide kätsh / Hannes Sarv

    Index Scriptorium Estoniae

    Sarv, Hannes

    2008-01-01

    AS Alta Foods esitas Stockholmi arbitraazhiinstituudile taotluse, et saada tagasi AS-i Kalev toiduainetööstuse ja AS-i Tere omandamiseks tasutud kuue miljoni euro suurune ettemaks. Vt. samas: Tehingu kronoloogia. Küsimustele vastavad Indrek Rahumaa ja Oliver Kruuda

  4. Pärnu mnt. ja Järvevana tee vahelise ala planeerimiskonkurss = Planning Competition of the Area between Järvevana and Pärnu Roads / Kalle Komissarov

    Index Scriptorium Estoniae

    Komissarov, Kalle, 1976-

    2002-01-01

    Konkursist, zürii koosseis, võidutöödest. Võistlusala oli AS-i "Kalev" ja Tallinna Piimatööstuse territoorium. Preemiad: I - Nikolai Volkov, Liis Sagadi, II - Tarmo Teedumäe, Renee Puusepp, Karli Luik, Toomas Tammis, Inga Raukas, III - Veronika Valk, ostupreemiad - Alver Trummal Arhitektid ja büroo Kosmos

  5. Agar pronkssõduriga võitleja sai kanepisuitsetamise eest trahvi / Katrin Rohtla, Siim Randla

    Index Scriptorium Estoniae

    Rohtla, Katrin, 1966-

    2006-01-01

    Aktiivse pronkssõduri vastasena tuntust kogunud Isamaaliidu liige Kalev Rebane sai Läänemaal Peraküla rannas kanepi suitsetamise eest politseilt 9000 krooni trahvi. Isamaa ja Res Publica Liidu liikmed on teinud ettepaneku noormees erakonnast välja arvata. Lisa: Mille eest koostati protokoll?

  6. Jalgrattur Sigvard Kukk : naisi tuleks lilledega loopida / Andres Kalvik

    Index Scriptorium Estoniae

    Kalvik, Andres, 1982-

    2007-01-01

    Kalev Chocolate Teami kuuluvad jalgratturid Mart Ojavee ja Priit Prous koos elukaaslaste Fia Metsamägi ja Kaia-Liia Ilumetsaga räägivad paarisuhtest olukorras, kui mees enamiku ajast välismaal viibib. Lisa: Enamik rattureid vahetab spordist loobudes naist

  7. Arupärimine rahandusministrile eurokalkulaatoritest / Jürgen Ligi, Ene Ergma, Helle Kalda...[jt.

    Index Scriptorium Estoniae

    2011-01-01

    Riigikogu liikmete Helle Kalda, Toomas Vareki, Aivar Riisalu, Lauri Laasi, Mailis Repsi, Enn Eesmaa, Kalle Laaneti, Eldar Efendijevi, Nelli Privalova, Vladimir Velmani, Olga Sõtniku, Kalev Kallo, Toivo Tootseni, Arvo Sarapuu, Nikolai Põdramägi Evelyn Sepa, Ain Seppiku ja Valeri Korbi poolt 17. novembril esitatud arupärimine

  8. 21. IV tähistasid Eesti Rahvusraamatukogus...

    Index Scriptorium Estoniae

    2004-01-01

    Konverentsi ja näitusega tähistasid oma 80. aastapäeva Väärismetallasjade ja Märkide Tehas Roman Tavast OÜ ning OÜ Juveel. Konverentsil esinesid Raul-Roman Tavast, Kalev Uustalu, Vilius Kavaliauskas, Kaalu Kirme jt. Harulduste osakonna näitusesaalis kuni 21. V väljapanek tehases 80 aastal toodetust

  9. Kaasaegse kunsti muuseum asutas iga-aastase Köleri auhinna / Mart Niineste

    Index Scriptorium Estoniae

    Niineste, Mart, 1983-

    2011-01-01

    EKKM-i poolt nimetatud Köler Prize 2011 nominendid on Dénes Kalev Farkas, Tõnis Saadoja, Timo Toots, Sigrid Viir ja Jevgeni Zolotko. Laureaadi valib rahvusvaheline žürii EKKM-is 1. maist 5. juunini toimuva näituse põhjal. Kunstiauhinnast

  10. Capital structure optimization on the example of Estonian industrial companies : the case of three constraints / Roman Zahharov

    Index Scriptorium Estoniae

    Zahharov, Roman

    2003-01-01

    Kapitali struktuuri optimeerimisest. Analüüsi aluseks on võetud Eesti tööstusettevõtete (Baltika, Estiko, Kalev, Klementi, Norma, Saku Õlletehas, Rakvere Lihakombinaat, Viisnurk) 1996-2001 aastate finantsaruanded. Lisad lk. 238-241. Tabelid. Diagramm

  11. Grigori Petrišin: Ajalehes Kesknädal 25. märtsil 2009 ilmunud publikatsiooni ümberlükkamine / Grigori Petrišin

    Index Scriptorium Estoniae

    Petrišin, Grigori

    2009-01-01

    Riigikogu liikme, endise Tallinna abilinnapea Kalev Kallo poole pöördus ettevõtja Grigori Petrišin, keda kaitsepolitsei oli sundinud väidetavalt oma firma nimel kirjutama linnajuhte kompromiteerivaid kirju. Nüüd väidab ettevõtja, et teda on ära kasutatud valimiseelsetes võimumängudes

  12. Sisekommunikatsiooni roll on toidutööstuses kriitilise kaaluga / Kairi Oja

    Index Scriptorium Estoniae

    Oja, Kairi

    2015-01-01

    Toidutööstuse sisekommunikatsioonist. Selgitusi jagavad Coca-Cola HBC Eesti avalike suhete juht Nele Normak, Jako Arula ettevõttest AS A. Le Coq, AS-i Kalev kommunikatsioonijuht Rutt Roht ja Eesti Toiduainetööstuse Liidu juhataja Sirje Potisepp

  13. Piiritagune teater huvitab igat näitlejat / Kadri Bank

    Index Scriptorium Estoniae

    Bank, Kadri

    2006-01-01

    VIIIndast rahvusvahelisest sõltumatute ja amatöörteatrite festivalist "Apostrof" Prahas 30. VII - 4. VIII, kus osales ka Tartu Üliõpilasteater lavastusega "Puhastatud" (autor Sarah Kane, lavastaja Kalev Kudu). Lavastus pälvis publikuhääletusel 14 osaleja seas viienda koha

  14. Kultuurkapital nimetas aasta parimad

    Index Scriptorium Estoniae

    2011-01-01

    Eesti Kultuurkapitali aastapreemia 2010 laureaadid: arhitektid Maarja Kask, Ralf Lõoke, Karli Luik (Sõmeru keskusehoone), animaator Mati Kütt (Taevalaul), helilooja Urmas Sisask, kirjanik Mats Traat (Minge üles mägedele), sporditreener Anna Levandi, kunstnik Denes Kalev Farkas (Let's Play, the Game Is Over), teatriühendus R.A.A.A.M., folklorist Anu Korb (Eesti asundused)

  15. Kõige eest siin elus tuleb maksta / Piret Hartman

    Index Scriptorium Estoniae

    Hartman, Piret

    2006-01-01

    ERL-i fraktsiooni nõunik käsitleb rahvastikuteadlase Kalev Katuse loengut Eesti rahvastikuarengust Euroopa kontekstis. Rahvastiku juurdekasv tuleb seada kõigis valdkondades esmatähtsaks, vaja on terviklikku toetussüsteemi kuni lapse täiskasvanuks saamiseni

  16. Võidusamba klaasimine algab järgmisel nädalal / Urmas Tooming

    Index Scriptorium Estoniae

    Tooming, Urmas

    2008-01-01

    Tallinnasse rajatava Vabadussõja võidusamba betoonsüdamiku ümber ehitatakse metallkarkass, mille külge kinnitatakse klaasplokid. Töid teostab Tšehhi firma Sans Souc. Samba valguslahendusest. Kommenteerivad Kalev Pikaru firmast Telora-E ja disainer Andri Laidre

  17. Mis teeb ühe brand'i teistest paremaks? : Võidu tähendusrikkuse poole / Mauri Sööt

    Index Scriptorium Estoniae

    Sööt, Mauri

    2013-01-01

    Balti riikides läbi viidud brand'iuuringust Meaningful Brands, millega selgitati, kuidas brand'id mõjutavad inimese heaolu individuaalses ja kollektiivses tähenduses. Eestis uuritud 46 brand'i seas saavutas kõige kõrgema tähendusrikkuse indeksi magusatootja Kalev. Uuringutulemuste kasutusvõimalusi ettevõtte kommunikatsioonis ja üritusturunduses

  18. Väätsa Agro müüdud / Silja Lättemäe

    Index Scriptorium Estoniae

    Lättemäe, Silja, 1952-

    2006-01-01

    Eesti suurima põllumajandusettevõtte Väätsa Agro OÜ üle 56% suurosaluse omandas Eesti kapitalil tegutsev osaühing Windmühle. Vt. samas: Miks te ei maksa piimavõlga ära? Küsimusele vastab AS-i Kalev omanik Oliver Kruuda

  19. Kalevi rooli asub endine lihatööstur / Kaisa Tahlfeld

    Index Scriptorium Estoniae

    Tahlfeld, Kaisa

    2010-01-01

    Endine Atria juht Kaido Kaare saab Kalev Chocolate Factory uueks juhiks. Kaare arvates võiksid Eesti magusatööstuse ambitsioonid ulatuda Eestist väljapoole, ta näeb võimalusi suurendada koostöös Orkla grupi ettevõtetega Kalevi tootmisefektiivsust ja jätkata tootearendust

  20. Directori ülesanne : Kangekaelsed alluvad / Marko Rillo

    Index Scriptorium Estoniae

    Rillo, Marko

    2007-01-01

    Ettevõtte juhi ja alluvate vahelistest probleemidest. Lahendusi kaasusele pakuvad Kalev Chocolate Factory AS-i juhatuse esimees Kati Kusmin: Rohkem usku iseendasse; firma Meeskonnakoolituse juhtimistreener-konsultant Ülo Vihma: Varem või hiljem saavutame ikka oma ebakompetentsuse taseme!; internetifirma Bookinghouse asutaja ja juht Andres Liinat: Oskused on õpitavad - isikuomadused mitte

  1. Leading Estonian brands in the hands of foreign companies / Andreas Kaju

    Index Scriptorium Estoniae

    Kaju, Andreas

    2002-01-01

    Emori poolt 2002. aasta alguses läbi viidud uurimusest selgus, et Eesti top 10 kaubamärkide hulgas on Kalev ainus Eesti kapitalil põhineva ettevõtte kaubamärk. Tabel: Eesti ettevõtete ja kaubamärkide top 6. Lisa

  2. Sise- ja rahvusvaheline tasakaal / Ragnar Nurkse ; tõlk. Aet Ringborg

    Index Scriptorium Estoniae

    Nurkse, Ragnar

    2004-01-01

    Keynesi majandusteooriast, rahvatulu ja väliskaubanduse seose multiplikaatoranalüüsist, tööhõivepoliitikast avatud majanduses ja selle rahvusvahelisest koordineerimisest, majanduslikust natsionalismist, rahvusvahelisest valuutapoliitikast ja multilateraalsest kaubandusest. Vt. ka: Kalev Kukk. Kes oli ja on Ragnar Nurkse? Ülevaade eesti soost majandusteadlase Ragnar Nurkse (1907-1959) elukäigust

  3. Eesti harrastusfilm võitis esikoha

    Index Scriptorium Estoniae

    2007-01-01

    Tallinna V rahvusvahelise amatöörfilmide festivali peaauhind jagunes nelja filmi vahel, millest üks oli Eesti "Elevanti nägema" (tegijad Sandra Dürdorth, Maureen Apel, Kalev Saar, Leon Shamis). Teised võitjad olid Austria (2 filmi) ja Soome

  4. 50 miljoni kulutamise eesmärk : 50 miljonit tuleb kulutada ja kõik / Raimo Poom

    Index Scriptorium Estoniae

    Poom, Raimo

    2007-01-01

    Ministeeriumid kritiseerivad majandus- ja kommunikatsiooniministeeriumi kodutoetuse seaduse eelnõu, mille eesmärk on lahendada lasterikaste perede eluasemeprobleemid. Siim Valmar Kiisleri, Jürgen Ligi, majandus- ja kommunikatsiooniministeeriumi pressiesindaja Kalev Vapperi arvamusi. Vt. samas: Kadri Ibrus. Viielapseline pere laenu ei saa

  5. Alo Streimann pääses Eesti Posti juhatusse suunatud konkursiga / Tõnis Arro ; interv. Toomas Kümmel

    Index Scriptorium Estoniae

    Arro, Tõnis

    2003-01-01

    Personaliotsingufirma Fontes nõukogu esimees Tõnis Arro tunnistab, et Eesti Posti juhi kohalt tagasiastunud Alo Streimanni ametisse valimisel oli tunda ettevõtte eelmise nõukogu soovi suruda sellele ametikohale Keskerakonnale lähedalseisev inimene. Vt. samas: Aastatagused arvamused Alo Streimannist: Kalev Kaal, Kostel Gerndorf, Küllo Arjakas

  6. Koole hakkavad haldama riiulifirmad / Toivo Tänavsuu, Vallo Toomet

    Index Scriptorium Estoniae

    Tänavsuu, Toivo

    2006-01-01

    Kümme Tallinna kooli antakse 30 aastaks erafirmade renoveerida ja hallata. 32. keskkooli majandusjuhi Ants Ivaski, Kalev REC juhatuse liikme Peeter Lillestiku, U. S. Investi juhatuse liikme Tarmo Tomaki, RKAS-i juhi Jaak Saarniidu seisukohti. Vt. samas intervjuud Kaia Jäppineniga. Lisa: Rendisumma erineb mitu korda

  7. Eksperdid peavad võrdlust Kuuba kriisiga liialduseks / Evelyn Kaldoja

    Index Scriptorium Estoniae

    Kaldoja, Evelyn, 1980-

    2016-01-01

    Balti riikide ja teiste Venemaa naaberriikide julgeolekust seoses Iskander-M-tüüpi rakettide paigutamisega Kaliningradi oblastisse. NATO liitlasvägede kohalolust Baltimaades ja Poolas ning mõjudest Venemaa julgeolekupoliitilistele otsustele. Rahvusvahelise Kaitseuuringute Keskuse teadurite Tomas Jermalavičiuse ja Kalev Stoicescu kommentaarid

  8. Laul, mis kõlas Venemaal paremini kui Eestis / Riho Nagel

    Index Scriptorium Estoniae

    Nagel, Riho

    2018-01-01

    Tapal asuva 1. jalaväebrigaadi staabi- ja sidekompanii ajateenijad valisid oma kompanii lauluks "Metsavendade laulu". Vene rahvusest ajateenija kaebuse tõttu laulust küll loobuti, kuid info sellest laulust jõudis Vene meediasse. Rahvusvahelise kaitseuuringute keskuse teaduri Kalev Stoicescu kommentaar

  9. Omamise vaev või rendiõnn? / Merlis Nõgene

    Index Scriptorium Estoniae

    Nõgene, Merlis, 1976-

    2006-01-01

    Arvutite renditeenust tutvustavad Elioni finantseerimistoodete teenistuse juhataja Kalev Karus, Siemens Financial Services'i tegevjuht Virgo Jaani ja 3 Step IT müügidirektor Aivar Kraus. Kommenteerib Infoweb ASi arendusdirektor Tauri Purkas. Lisad: Rentimise plussid ja miinused; Tallinna koolide arvutite renditsükkel purunes

  10. Uued omanikud tahavad Revinost näidisfarmi teha / Külli Kriis

    Index Scriptorium Estoniae

    Kriis, Külli, 1961-

    2004-01-01

    Ilmunud ka: Severnoje Poberezhje, 9. jaan. 2004, lk. 4. Investeerimispank Trigon Capital omandas enamusosaluse osaühingus Revino. Pank kavatseb põllumajandusettevõttest kujundada näidisfarmi, mis aitaks muuta Eesti põllumajandust välisinvestoritele atraktiivsemaks Vt. samas lühiint. Kalev Mae, Ken Noble ja Joakim Heleniusega

  11. Kalevite kange rahvas / Valter Lang

    Index Scriptorium Estoniae

    Lang, Valter, 1958-

    2012-01-01

    Autor uurib, kuidas võidi kutsuda sotsiaalselt paremal järjel olevaid inimesi muinasajal, juhtides tähelepanu ühele võimalusele omakeelse ülikunime väljaselgitamisel - selleks võiks olla meie rahvaluule vägilane Kalev. Pöördutakse nii rahvaluule, keeleajaloo kui ka arheoloogia poole

  12. Impact of Different Ventilation Strategies on Driving Pressure, Mechanical Power, and Biological Markers During Open Abdominal Surgery in Rats.

    Science.gov (United States)

    Maia, Lígia de A; Samary, Cynthia S; Oliveira, Milena V; Santos, Cintia L; Huhle, Robert; Capelozzi, Vera L; Morales, Marcelo M; Schultz, Marcus J; Abreu, Marcelo G; Pelosi, Paolo; Silva, Pedro L; Rocco, Patricia Rieken Macedo

    2017-10-01

    Intraoperative mechanical ventilation may yield lung injury. To date, there is no consensus regarding the best ventilator strategy for abdominal surgery. We aimed to investigate the impact of the mechanical ventilation strategies used in 2 recent trials (Intraoperative Protective Ventilation [IMPROVE] trial and Protective Ventilation using High versus Low PEEP [PROVHILO] trial) on driving pressure (ΔPRS), mechanical power, and lung damage in a model of open abdominal surgery. Thirty-five Wistar rats were used, of which 28 were anesthetized, and a laparotomy was performed with standardized bowel manipulation. Postoperatively, animals (n = 7/group) were randomly assigned to 4 hours of ventilation with: (1) tidal volume (VT) = 7 mL/kg and positive end-expiratory pressure (PEEP) = 1 cm H2O without recruitment maneuvers (RMs) (low VT/low PEEP/RM-), mimicking the low-VT/low-PEEP strategy of PROVHILO; (2) VT = 7 mL/kg and PEEP = 3 cm H2O with RMs before laparotomy and hourly thereafter (low VT/moderate PEEP/4 RM+), mimicking the protective ventilation strategy of IMPROVE; (3) VT = 7 mL/kg and PEEP = 6 cm H2O with RMs only before laparotomy (low VT/high PEEP/1 RM+), mimicking the strategy used after intubation and before extubation in PROVHILO; or (4) VT = 14 mL/kg and PEEP = 1 cm H2O without RMs (high VT/low PEEP/RM-), mimicking conventional ventilation used in IMPROVE. Seven rats were not tracheotomized, operated, or mechanically ventilated, and constituted the healthy nonoperated and nonventilated controls. Low VT/moderate PEEP/4 RM+ and low VT/high PEEP/1 RM+, compared to low VT/low PEEP/RM- and high VT/low PEEP/RM-, resulted in lower ΔPRS (7.1 ± 0.8 and 10.2 ± 2.1 cm H2O vs 13.9 ± 0.9 and 16.9 ± 0.8 cm H2O, respectively; Pmechanical power (63 ± 7 and 79 ± 20 J/min vs 110 ± 10 and 120 ± 20 J/min, respectively; P = .007). Low VT/high PEEP/1 RM+ was associated with less alveolar collapse than low VT/low PEEP/RM- (P = .03). E-cadherin expression was higher in

  13. Eesti Vabariigi põhiseadus : kommenteeritud väljaanne / toimetuskolleegium: Eerik-Juhan Truuväli, Berit Aaviksoo, Oliver Kask, Lasse Lehis, Lauri Madise, Ülle Madise, Kalle Merusk, Lauri Mälksoo, Raul Narits, Vallo Olle, Peep Pruks

    Index Scriptorium Estoniae

    2008-01-01

    Kommentaaride autorid ja sisu: Sissejuhatus / Raul Narits, Lauri Madise, Heinrich Schneider. Preambul / Raul Narits, Heinrich Schneider. I ptk. / Kalle Merusk, Taavi Annus, Madis Ernits, Heiki Lindpere, Lauri Madise. II ptk. / Oliver Kask, Madis Ernits, Taavi Annus, Peeter Roosma, Rait Maruste, Eerik Kergandberg, Ivo Pilving, Uno Lõhmus, Merilin Kiviorg, Einar Vene, Ülle Madise. III ptk. / Oliver Kask. IV ptk. / Lauri Madise, Aaro Mõttus, Jüri Põld, Tiina Runthal. V ptk. / Eerik-Juhan Truuväli, Ülle Madise, Jüri Põld, Urmas Reinsalu. VI ptk. / Kalle Merusk, Jüri Põld. VII ptk. / Eerik-Juhan Truuväli, Jüri Liventaal, Jüri Põld. VIII ptk. / Lasse Lehis. IX ptk. / Kristi Land, Heiki Lindpere, Lauri Madise, Heiki Pisuke. X ptk. / Oliver Kask, Enn Markvart, Jüri Põld. XI ptk. / Ülle Madise, Janek Laidvee, Heinrich Schneider. XII ptk. / Berit Aaviksoo, Mihkel Allik, Enn Markvart, Raul Narits, Aare Reenumägi, Peeter Roosma. XIII ptk. / Raul Narits, Uno Lõhmus, Madis Ernits, Jüri Põld. XIV ptk. / Vallo Olle, Arno Almann, Jüri Liventaal, Ülle Madise. XV ptk. / Eerik-Juhan Truuväli, Aaro Mõttus. Eesti Vabariigi põhiseaduse rakendamise seadus / Oliver Kask, Raul Narits, Peeter Roosma. Eesti Vabariigi põhiseaduse täiendamise seadus / Berit Aaviksoo, Julia Laffranque, Ülle Madise, Jüri Põld. Eesti Vabariigi põhiseadus 1990-2008 : bibliograafia (seisuga september 2008) / koost. Maia Ruttu

  14. Relationship of end-expiratory pressure, lung volume, and /sup 99m/Tc-DTPA clearance

    International Nuclear Information System (INIS)

    Cooper, J.A.; van der Zee, H.; Line, B.R.; Malik, A.B.

    1987-01-01

    We investigated the dose-response effect of positive end-expiratory pressure (PEEP) and increased lung volume on the pulmonary clearance rate of aerosolized technetium-99m-labeled diethylenetriaminepentaacetic acid (99mTc-DTPA). Clearance of lung radioactivity was expressed as percent decrease per minute. Base-line clearance was measured while anesthetized sheep (n = 20) were ventilated with 0 cmH 2 O end-expiratory pressure. Clearance was remeasured during ventilation at 2.5, 5, 10, 15, or 20 cmH 2 O PEEP. Further studies showed stepwise increases in functional residual capacity (FRC) (P less than 0.05) measured at 0, 2.5, 5, 10, 15, and 20 cmH 2 O PEEP. At 2.5 cmH 2 O PEEP, the clearance rate was not different from that at base line (P less than 0.05), although FRC was increased from base line. Clearance rate increased progressively with increasing PEEP at 5, 10, and 15 cmH 2 O (P less than 0.05). Between 15 and 20 cmH 2 O PEEP, clearance rate was again unchanged, despite an increase in FRC. The pulmonary clearance of aerosolized /sup 99m/Tc-DTPA shows a sigmoidal response to increasing FRC and PEEP, having both threshold and maximal effects. This relationship is most consistent with the hypothesis that alveolar epithelial permeability is increased by lung inflation

  15. Respiratory System Mechanics During Low Versus High Positive End-Expiratory Pressure in Open Abdominal Surgery: A Substudy of PROVHILO Randomized Controlled Trial.

    Science.gov (United States)

    D'Antini, Davide; Huhle, Robert; Herrmann, Jacob; Sulemanji, Demet S; Oto, Jun; Raimondo, Pasquale; Mirabella, Lucia; Hemmes, Sabrine N T; Schultz, Marcus J; Pelosi, Paolo; Kaczka, David W; Vidal Melo, Marcos Francisco; Gama de Abreu, Marcelo; Cinnella, Gilda

    2018-01-01

    In the 2014 PROtective Ventilation using HIgh versus LOw positive end-expiratory pressure (PROVHILO) trial, intraoperative low tidal volume ventilation with high positive end-expiratory pressure (PEEP = 12 cm H2O) and lung recruitment maneuvers did not decrease postoperative pulmonary complications when compared to low PEEP (0-2 cm H2O) approach without recruitment breaths. However, effects of intraoperative PEEP on lung compliance remain poorly understood. We hypothesized that higher PEEP leads to a dominance of intratidal overdistension, whereas lower PEEP results in intratidal recruitment/derecruitment (R/D). To test our hypothesis, we used the volume-dependent elastance index %E2, a respiratory parameter that allows for noninvasive and radiation-free assessment of dominant overdistension and intratidal R/D. We compared the incidence of intratidal R/D, linear expansion, and overdistension by means of %E2 in a subset of the PROVHILO cohort. In 36 patients from 2 participating centers of the PROVHILO trial, we calculated respiratory system elastance (E), resistance (R), and %E2, a surrogate parameter for intratidal overdistension (%E2 > 30%) and R/D (%E2 mechanical ventilation with protective tidal volumes in patients undergoing open abdominal surgery, lung recruitment followed by PEEP of 12 cm H2O decreased the incidence of intratidal R/D and did not worsen overdistension, when compared to PEEP ≤2 cm H2O.

  16. Open lung approach versus standard protective strategies: Effects on driving pressure and ventilatory efficiency during anesthesia - A pilot, randomized controlled trial.

    Science.gov (United States)

    Ferrando, Carlos; Suarez-Sipmann, Fernando; Tusman, Gerardo; León, Irene; Romero, Esther; Gracia, Estefania; Mugarra, Ana; Arocas, Blanca; Pozo, Natividad; Soro, Marina; Belda, Francisco J

    2017-01-01

    Low tidal volume (VT) during anesthesia minimizes lung injury but may be associated to a decrease in functional lung volume impairing lung mechanics and efficiency. Lung recruitment (RM) can restore lung volume but this may critically depend on the post-RM selected PEEP. This study was a randomized, two parallel arm, open study whose primary outcome was to compare the effects on driving pressure of adding a RM to low-VT ventilation, with or without an individualized post-RM PEEP in patients without known previous lung disease during anesthesia. Consecutive patients scheduled for major abdominal surgery were submitted to low-VT ventilation (6 ml·kg-1) and standard PEEP of 5 cmH2O (pre-RM, n = 36). After 30 min estabilization all patients received a RM and were randomly allocated to either continue with the same PEEP (RM-5 group, n = 18) or to an individualized open-lung PEEP (OL-PEEP) (Open Lung Approach, OLA group, n = 18) defined as the level resulting in maximal Cdyn during a decremental PEEP trial. We compared the effects on driving pressure and lung efficiency measured by volumetric capnography. OL-PEEP was found at 8±2 cmH2O. 36 patients were included in the final analysis. When compared with pre-RM, OLA resulted in a 22% increase in compliance and a 28% decrease in driving pressure when compared to pre-RM. These parameters did not improve in the RM-5. The trend of the DP was significantly different between the OLA and RM-5 groups (p = 0.002). VDalv/VTalv was significantly lower in the OLA group after the RM (p = 0.035). Lung recruitment applied during low-VT ventilation improves driving pressure and lung efficiency only when applied as an open-lung strategy with an individualized PEEP in patients without lung diseases undergoing major abdominal surgery. ClinicalTrials.gov NCT02798133.

  17. Cardiac output estimation using pulmonary mechanics in mechanically ventilated patients

    Directory of Open Access Journals (Sweden)

    Hann Christopher E

    2010-11-01

    Full Text Available Abstract The application of positive end expiratory pressure (PEEP in mechanically ventilated (MV patients with acute respiratory distress syndrome (ARDS decreases cardiac output (CO. Accurate measurement of CO is highly invasive and is not ideal for all MV critically ill patients. However, the link between the PEEP used in MV, and CO provides an opportunity to assess CO via MV therapy and other existing measurements, creating a CO measure without further invasiveness. This paper examines combining models of diffusion resistance and lung mechanics, to help predict CO changes due to PEEP. The CO estimator uses an initial measurement of pulmonary shunt, and estimations of shunt changes due to PEEP to predict CO at different levels of PEEP. Inputs to the cardiac model are the PV loops from the ventilator, as well as the oxygen saturation values using known respiratory inspired oxygen content. The outputs are estimates of pulmonary shunt and CO changes due to changes in applied PEEP. Data from two published studies are used to assess and initially validate this model. The model shows the effect on oxygenation due to decreased CO and decreased shunt, resulting from increased PEEP. It concludes that there is a trade off on oxygenation parameters. More clinically importantly, the model also examines how the rate of CO drop with increased PEEP can be used as a method to determine optimal PEEP, which may be used to optimise MV therapy with respect to the gas exchange achieved, as well as accounting for the impact on the cardiovascular system and its management.

  18. Prima Vista toob pargiraamatukogu

    Index Scriptorium Estoniae

    2005-01-01

    5. ja 6. mail 2005 toimub teine Tartu kirjandusfestival "Prima Vista". Avatakse pargiraamatukogu, kus esinevad 5. mail Jürgen Rooste, Merca, Aapo Ilves, Peep Ilmet, Marko Martinson, Jüri Kaldmaa, Jaan Pehk

  19. Prevention of pectus excavatum for children with spinal muscular atrophy type 1.

    Science.gov (United States)

    Bach, John R; Bianchi, Carlo

    2003-10-01

    To demonstrate the elimination of pectus excavatum and promotion of more normal lung growth and chest wall development by the use of high-span positive inspiratory pressure plus positive end-expiratory pressure (PIP+PEEP), patients with spinal muscular atrophy type 1 with paradoxical breathing were placed on high-span PIP+PEEP when sleeping from the point of diagnosis of spinal muscular atrophy. Although the appearance of pectus excavatum is ubiquitous in untreated infants with spinal muscular atrophy type 1, after institution of high-span PIP+PEEP, pectus resolves and lungs and chest walls grow more normally. High-span PIP+PEEP is indicated for all infants diagnosed with spinal muscular atrophy who demonstrate paradoxical breathing for the purpose of promoting more normal lung and chest development.

  20. Norma majandustulemuste ootused käivad üksteisele vastu / Gea Velthut-Sokka

    Index Scriptorium Estoniae

    Velthut-Sokka, Gea, 1977-

    2004-01-01

    LHV ja Hansapanga analüütikud ennustavad Normale suurenenud kasumit ja aktsiahinna tõusu, Suprema ennustab nii käibe kui ka kasumi vähenemist. Kommenteerib Norma tegevdirektor Peep Siimon. Diagramm

  1. Põldsamm : 3G lepingu kaotus pole maailma lõpp / Toivo Tänavsuu

    Index Scriptorium Estoniae

    Tänavsuu, Toivo

    2006-01-01

    Kolmanda põlvkonna mobiiltelefonivõrgu neljanda sagedusloa väljaandmise avaliku konkursi võitis Venemaa äriühingutele Alkominvest ja Praim kuuluv OÜ Crosson Capital. Bravocomi juhi Peep Põldsammi arvamus

  2. Vastuolud annavad märku muutuste vajadusest / Marit Pukk

    Index Scriptorium Estoniae

    Pukk, Marit

    2002-01-01

    Kiiresti areneva firma struktuur vajab muutmist. Kommenteerivad gasellettevõtete juhid Argo Schneider (OÜ Albion Reisid), Peep Nork (AS Euro Truck Trade Center), Riinu Värk (AS Meditsiinigrupp) ja Tiit Elenurm

  3. "Oravad" tõmbavad Eesti Energia börsileminekule piduri peale / Raimo Poom

    Index Scriptorium Estoniae

    Poom, Raimo

    2010-01-01

    Riigikogu Reformierakonna fraktsiooni kohtumisest Eesti Energia juhi Sandor Liive ning majandus- ja kommunikatsiooniministeeriumi esindajatega. Fraktsiooni esimees Peep Aru räägib küsimustest, mis on seotud Eesti Energia börsilemineku kavaga

  4. Sihtasutus Eesti Rahvuskultuuri Fond...

    Index Scriptorium Estoniae

    2002-01-01

    15. oktoobrini võetakse vastu 2003. a. stipendiumide ja kultuuriprojektide finantseerimise taotlusi. Esimest korda jagatakse stipendiume Peep Keskküla (toetatakse Eesti kunstielu arengut), Renate Jõesaare (stipendium eesti rahvusest isikule, kes on tegev kujutava kunsti alal) jt. fondidest

  5. Kas eesti keelt kummitab sõnavaravaegus? / Virve Liivanõmm

    Index Scriptorium Estoniae

    Liivanõmm, Virve

    2009-01-01

    Terminoloogiakonverentsist "Eestikeelne ülikool" Tartus ning Eesti teaduskeele konverentsist Tallinna Ülikoolis. Konverentsidel võtsid sõna Peeter Päll, Mats Estonius, Peeter Saari, Igor Gräzin, Peep Nemvalts, Krista Kerge, Toomas Silk

  6. Titanic või turist? / Karin Paulus

    Index Scriptorium Estoniae

    Paulus, Karin, 1975-

    2006-01-01

    Tallinnas Tartu maanteel asuva endise Turisti poe (arhitektid Peep Jänes, Henno Sepmann) asemele tahavad hoone omanikud ehitada kõrghoone nimega Titanic. Hoone ajutine võtmine muinsuskaitse alla on põhjustanud kohtuvaidluse

  7. 40 aastat uurivat õpetajat / Raivo Juurak

    Index Scriptorium Estoniae

    Juurak, Raivo, 1949-

    2001-01-01

    ÜPUI asutamisest, minevikust ja ka tulevikust. Vestlusringis on Ühiskondliku Pedagoogika Uurimise Instituudi asutajad ja eestvedajad - Helme kutsekooli õpetaja Peep Leppik, TÜ kasvatusteaduste dotsent Inger Kraav, TPÜ emeriitprofessor Inge Unt, TPÜ dotsent Viivi Maanso

  8. Takistusriba avalikule teabele / Ivar Tallo

    Index Scriptorium Estoniae

    Tallo, Ivar, 1964-

    2004-01-01

    Autori arvates on riiklike registrite poolt jagatava teabe eest tasu võtmine avaliku teabe seadusega vastuolus ega vasta kaasaegsetele infotehnoloogilistele lahendustele. Vastuseks vt.Viljar Peep. Registritest 6.aug. Postimees lk. 10

  9. Samaja bolshaja stroiploshtshadka v Estonii / Konstantin Morenko

    Index Scriptorium Estoniae

    Morenko, Konstantin

    2004-01-01

    Tallinna linnavalitsus korraldas ümarlaua linna rannaalade hetkeseisu ja arenguvõimaluste hindamiseks, mille töös osalesid ka Euroopa tuntud linnaplaneerimise konsultandid. Arvamust avaldavad Peep Aaviksoo, Lutz Schleich, Giorgio Risicaris ja Stefan Boltz

  10. Bravocom süüdistab Tele2 ja EMT-d alatus konkurentsivõitluses / Kristiina Viiron

    Index Scriptorium Estoniae

    Viiron, Kristiina, 1971-

    2007-01-01

    Kallines Tele2 ja EMT võrgust Bravocomi mobiilinumbritele helistamise minutihind. Bravocomi juhatuse esimees Peep Põldsamm peab nii kalli hinna - 4.50 minut - kehtestamist konkurentsivõitluseks. Tabelid: Hinnavõrdlus. Lisa: Tele2 ja EMT kommentaarid

  11. Nukufilm lasi käiku pooletunnise 3D-seiklusfilmi / Tiit Tuumalu

    Index Scriptorium Estoniae

    Tuumalu, Tiit, 1971-

    2009-01-01

    Stuudios Nukufilm algasid pooletunnise 3D-nukufilmi "Lisa Limone ja Maroc Orange'i tormakas armulugu" võtted. Filmi režissöör on Mait Laas, stsenaristid Kati Kovacs ja Peep Pedmanson, produtsent Arvo Nuut

  12. Verba volant, scripta manent / Milvi Tedremaa

    Index Scriptorium Estoniae

    Tedremaa, Milvi, 1937-2012

    1999-01-01

    Rets. rmt.: Meie õppisime raamatukogundust Tartu Ülikoolis / koost. Maare Kümnik, Kaja Noodla. Tartu, 1998. Vastukaja: Peep, Laine. Mitte ainult Milvi Tedremaale // Raamatukogu (1999) nr. 4, lk. 44

  13. Ajakirjanikud ajasid metsas hundijälgi / Liisi Seil

    Index Scriptorium Estoniae

    Seil, Liisi, 1971-

    2003-01-01

    Hundiuurija Marko Kübarsepp viis teabepäevast "Elu koos hundiga" osalejad Soomaa metsadesse hundijälgi otsima. Kiskja kohta jagasid veel teavet Tõnu Traks, Ilmar Rootsi, Peep Männil ja Jaak Volmer

  14. Meeleavaldajad rõhutavad Bonnis kliimaleppe olulisust / Merit Kopli

    Index Scriptorium Estoniae

    Kopli, Merit, 1969-

    2001-01-01

    Bonnis peetaval kliimakonverentsil pole seni kasvuhoonegaaside vähendmist sätestava Kyoto lepingu osas edu saavutatud. Eesti Rohelise Liikumise koordinaator Peep Mardiste meeleavaldusest Bonnis. Eesti keskkonnaministeeriumi ametnik Andres Kratonits Bonni kliimakonverentsist

  15. Who named it in anaesthesia?

    African Journals Online (AJOL)

    Few words existed before 1846 and majority naturally came after. A peep is made .... He had discovered many elements, such as potassium, sodium, barium .... Jokichi Takamine (1854–1922), a Japanese scientist, were trying to isolate and ...

  16. Väljaspool iseennast / Aita Kivi

    Index Scriptorium Estoniae

    Kivi, Aita, 1954-

    2000-01-01

    Sisu : Jaan Kaplinski. Silm. Hektor; John Grisham. Aguliadvokaat; Kerttu Rakke. Kalevipoeg; luulekogu "Armastuse valgus", koost. Peep Ilmet; James Woodall. John Lennon ja Yoko Ono; Donald Braider. El Greco eraelu; Åke Edwardson. Tants ingliga

  17. Tallinna Sakala keskuse projekt kütab kirgi / Aivo Vahemets

    Index Scriptorium Estoniae

    Vahemets, Aivo

    2004-01-01

    Raine Karbi projekteeritud hoone ümberehituse projekt telliti Inglismaalt büroost Burrow&Cave, OÜ Arhitektuuriagentuuri projektist loobuti. Eesti Arhitektide Liidu esinaise Margit Mutso ja arhitektuurinõukogu esimehe Peep Aaviksoo kommentaar

  18. Eesti animafilmid võitsid Raumas

    Index Scriptorium Estoniae

    pPIK mare 2010

    1999-01-01

    VI Sinise Mere filmifestivalil Raumas jagasid A-sarjas esikohta Mait Laasi "Päevavalgus" ja Peep Pedmansoni "Just Märried", teiseks jäi Märt Sildvee "Guardian Angel" ja kolmandaks Riho Undi - Hardi Volmeri "Primavera"

  19. compliance of the respiratory system as a predictor for successful

    African Journals Online (AJOL)

    clinical, ventilatory and blood gas criteria were studied. ... pressure (PIP) and positive end-expiratory pressure (PEEP) represented ... criteria for extubation, we found that bedside measurement of total ... position in neutral head-neck posture.

  20. Vene kriis kukutas Norma juhid / Raul Ranne

    Index Scriptorium Estoniae

    Ranne, Raul

    1998-01-01

    AS Norma vallandas ettevõtte tegevjuhi Peep Aaviksoo, sest ei olnud rahul ettevõtte tegevusega Venemaal. Tabelid: Norma aktsia on kukkunud, Norma kuukasum miinuses. Ilmunud ka: Delovõje Vedomosti, 9. sept. 1998, lk. 10

  1. Experimental intra-abdominal hypertension influences airway pressure limits for lung protective mechanical ventilation.

    Science.gov (United States)

    Cortes-Puentes, Gustavo A; Cortes-Puentes, Luis A; Adams, Alexander B; Anderson, Christopher P; Marini, John J; Dries, David J

    2013-06-01

    Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) may complicate monitoring of pulmonary mechanics owing to their impact on the respiratory system. However, recommendations for mechanical ventilation of patients with IAH/ACS and the interpretation of thoracoabdominal interactions remain unclear. Our study aimed to characterize the influence of elevated intra-abdominal pressure (IAP) and positive end-expiratory pressure (PEEP) on airway plateau pressure (PPLAT) and bladder pressure (PBLAD). Nine deeply anesthetized swine were mechanically ventilated via tracheostomy: volume-controlled mode at tidal volume (VT) of 10 mL/kg, frequency of 15, inspiratory-expiratory ratio of 1:2, and PEEP of 1 and 10 cm H2O (PEEP1 and PEEP10, respectively). A tracheostomy tube was placed in the peritoneal cavity, and IAP levels of 5, 10, 15, 20, and 25 mm Hg were applied, using a continuous positive airway pressure system. At each IAP level, PBLAD and airway pressure measurements were performed during both PEEP1 and PEEP10. PBLAD increased as experimental IAP rose (y = 0.83x + 0.5; R = 0.98; p < 0.001 at PEEP1). Minimal underestimation of IAP by PBLAD was observed (-2.5 ± 0.8 mm Hg at an IAP of 10-25 mm Hg). Applying PEEP10 did not significantly affect the correlation between experimental IAP and PBLAD. Approximately 50% of the PBLAD (in cm H2O) was reflected by changes in PPLAT, regardless of the PEEP level applied. Increasing IAP did not influence hemodynamics at any level of IAP generated. With minimal underestimation, PBLAD measurements closely correlated with experimentally regulated IAP, independent of the PEEP level applied. For each PEEP level applied, a constant proportion (approximately 50%) of measured PBLAD (in cm H2O) was reflected in PPLAT. A higher safety threshold for PPLAT should be considered in the setting of IAH/ACS as the clinician considers changes in VT. A strategy of reducing VT to cap PPLAT at widely recommended values may not be

  2. Effect of Positive End-Expiratory Pressure on Central Venous Pressure in Patients under Mechanical Ventilation.

    Science.gov (United States)

    Shojaee, Majid; Sabzghabaei, Anita; Alimohammadi, Hossein; Derakhshanfar, Hojjat; Amini, Afshin; Esmailzadeh, Bahareh

    2017-01-01

    Finding the probable governing pattern of PEEP and CVP changes is an area of interest for in-charge physicians and researchers. Therefore, the present study was designed with the aim of evaluating the relationship between the mentioned pressures. In this quasi-experimental study, patients under mechanical ventilation were evaluated with the aim of assessing the effect of PEEP change on CVP. Non-trauma patients, over 18 years of age, who were under mechanical ventilation and had stable hemodynamics, with inserted CV line were entered. After gathering demographic data, patients underwent 0, 5, and 10 cmH 2 O PEEPs and the respective CVPs of the mentioned points were recorded. The relationship of CVP and PEEP in different cut points were measured using SPSS 21.0 statistical software. 60 patients with the mean age of 73.95 ± 11.58 years were evaluated (68.3% male). The most frequent cause of ICU admission was sepsis with 45.0%. 5 cmH 2 O increase in PEEP led to 2.47 ± 1.53 mean difference in CVP level. If the PEEP baseline is 0 at the time of 5 cmH 2 O increase, it leads to a higher raise in CVP compared to when the baseline is 5 cmH 2 O (2.47 ± 1.53 vs. 1.57 ± 1.07; p = 0.039). The relationship between CVP and 5 cmH 2 O (p = 0.279), and 10 cmH 2 O (p = 0.292) PEEP changes were not dependent on the baseline level of CVP. The findings of this study revealed the direct relationship between PEEP and CVP. Approximately, a 5 cmH 2 O increase in PEEP will be associated with about 2.5 cmH 2 O raise in CVP. When applying a 5 cmH 2 O PEEP increase, if the baseline PEEP is 0, it leads to a significantly higher raise in CVP compared to when it is 5 cmH 2 O (2.5 vs. 1.6). It seems that sex, history of cardiac failure, baseline CVP level, and hypertension do not have a significant effect in this regard.

  3. Effect of Positive End-Expiratory Pressure on Central Venous Pressure in Patients under Mechanical Ventilation

    Directory of Open Access Journals (Sweden)

    Majid Shojaee

    2016-12-01

    Full Text Available Introduction: Finding the probable governing pattern of PEEP and CVP changes is an area of interest for in-charge physicians and researchers. Therefore, the present study was designed with the aim of evaluating the relationship between the mentioned pressures. Methods: In this quasi-experimental study, patients under mechanical ventilation were evaluated with the aim of assessing the effect of PEEP change on CVP. Non-trauma patients, over 18 years of age, who were under mechanical ventilation and had stable hemodynamics, with inserted CV line were entered. After gathering demographic data, patients underwent 0, 5, and 10 cmH2O PEEPs and the respective CVPs of the mentioned points were recorded. The relationship of CVP and PEEP in different cut points were measured using SPSS 21.0 statistical software. Results: 60 patients with the mean age of 73.95 ± 11.58 years were evaluated (68.3% male. The most frequent cause of ICU admission was sepsis with 45.0%. 5 cmH2O increase in PEEP led to 2.47 ± 1.53 mean difference in CVP level. If the PEEP baseline is 0 at the time of 5 cmH2O increase, it leads to a higher raise in CVP compared to when the baseline is 5 cmH2O (2.47 ± 1.53 vs. 1.57 ± 1.07; p = 0.039. The relationship between CVP and 5 cmH2O (p = 0.279, and 10 cmH2O (p = 0.292 PEEP changes were not dependent on the baseline level of CVP. Conclusion: The findings of this study revealed the direct relationship between PEEP and CVP. Approximately, a 5 cmH2O increase in PEEP will be associated with about 2.5 cmH2O raise in CVP. When applying a 5 cmH2O PEEP increase, if the baseline PEEP is 0, it leads to a significantly higher raise in CVP compared to when it is 5 cmH2O (2.5 vs. 1.6. It seems that sex, history of cardiac failure, baseline CVP level, and hypertension do not have a significant effect in this regard.

  4. Potential hazard of the Neopuff T-piece resuscitator in the absence of flow limitation.

    LENUS (Irish Health Repository)

    Hawkes, C P

    2012-01-31

    OBJECTIVE: (1) To assess peak inspiratory pressure (PIP), positive end expiratory pressure (PEEP) and maximum pressure relief (P(max)) at different rates of gas flow, when the Neopuff had been set to function at 5 l\\/min. (2) To assess maximum PIP and PEEP at a flow rate of 10 l\\/min with a simulated air leak of 50%. DESIGN: 5 Neopuffs were set to a PIP of 20, PEEP of 5 and P(max) of 30 cm H(2)O at a gas flow of 5 l\\/min. PIP, PEEP and P(max) were recorded at flow rates of 10, 15 l\\/min and maximum flow. Maximum achievable pressures at 10 l\\/min gas flow, with a 50% air leak, were measured. RESULTS: At gas flow of 15 l\\/min, mean PEEP increased to 20 (95% CI 20 to 21), PIP to 28 (95% CI 28 to 29) and the P(max) to 40 cm H(2)O (95% CI 38 to 42). At maximum flow (85 l\\/min) a PEEP of 71 (95% CI 51 to 91) and PIP of 92 cm H(2)O (95% CI 69 to 115) were generated. At 10 l\\/min flow, with an air leak of 50%, the maximum PEEP and PIP were 21 (95% CI 19 to 23) and 69 cm H(2)O (95% CI 66 to 71). CONCLUSIONS: The maximum pressure relief valve is overridden by increasing the rate of gas flow and potentially harmful PIP and PEEP can be generated. Even in the presence of a 50% gas leak, more than adequate pressures can be provided at 10 l\\/min gas flow. We recommend the limitation of gas flow to a rate of 10 l\\/min as an added safety mechanism for this device.

  5. Cardiac effects of positive pressure ventilation in ARDS assessed by NT-proBNP, Troponin T and Troponin I

    Directory of Open Access Journals (Sweden)

    Yasser Sadek Nassar

    2013-01-01

    Although the increase in cardiac markers are insignificant, yet they point to the potentially harmful role played by high PEEP, low PH and low PaO2/FiO2 ratio on the heart. Currently, no clinically relevant conclusion can be drawn apart from the recommendation to attempt to lower PEEP and shorten the duration of positive pressure ventilation, even in patients with structurally normal hearts.

  6. Comparison of lung protective ventilation strategies in a rabbit model of acute lung injury.

    Science.gov (United States)

    Rotta, A T; Gunnarsson, B; Fuhrman, B P; Hernan, L J; Steinhorn, D M

    2001-11-01

    To determine the impact of different protective and nonprotective mechanical ventilation strategies on the degree of pulmonary inflammation, oxidative damage, and hemodynamic stability in a saline lavage model of acute lung injury. A prospective, randomized, controlled, in vivo animal laboratory study. Animal research facility of a health sciences university. Forty-six New Zealand White rabbits. Mature rabbits were instrumented with a tracheostomy and vascular catheters. Lavage-injured rabbits were randomized to receive conventional ventilation with either a) low peak end-expiratory pressure (PEEP; tidal volume of 10 mL/kg, PEEP of 2 cm H2O); b) high PEEP (tidal volume of 10 mL/kg, PEEP of 10 cm H2O); c) low tidal volume with PEEP above Pflex (open lung strategy, tidal volume of 6 mL/kg, PEEP set 2 cm H2O > Pflex); or d) high-frequency oscillatory ventilation. Animals were ventilated for 4 hrs. Lung lavage fluid and tissue samples were obtained immediately after animals were killed. Lung lavage fluid was assayed for measurements of total protein, elastase activity, tumor necrosis factor-alpha, and malondialdehyde. Lung tissue homogenates were assayed for measurements of myeloperoxidase activity and malondialdehyde. The need for inotropic support was recorded. Animals that received a lung protective strategy (open lung or high-frequency oscillatory ventilation) exhibited more favorable oxygenation and lung mechanics compared with the low PEEP and high PEEP groups. Animals ventilated by a lung protective strategy also showed attenuation of inflammation (reduced tracheal fluid protein, tracheal fluid elastase, tracheal fluid tumor necrosis factor-alpha, and pulmonary leukostasis). Animals treated with high-frequency oscillatory ventilation had attenuated oxidative injury to the lung and greater hemodynamic stability compared with the other experimental groups. Both lung protective strategies were associated with improved oxygenation, attenuated inflammation, and

  7. Combined Effects of Ventilation Mode and Positive End-Expiratory Pressure on Mechanics, Gas Exchange and the Epithelium in Mice with Acute Lung Injury

    Science.gov (United States)

    Thammanomai, Apiradee; Hamakawa, Hiroshi; Bartolák-Suki, Erzsébet; Suki, Béla

    2013-01-01

    The accepted protocol to ventilate patients with acute lung injury is to use low tidal volume (VT) in combination with recruitment maneuvers or positive end-expiratory pressure (PEEP). However, an important aspect of mechanical ventilation has not been considered: the combined effects of PEEP and ventilation modes on the integrity of the epithelium. Additionally, it is implicitly assumed that the best PEEP-VT combination also protects the epithelium. We aimed to investigate the effects of ventilation mode and PEEP on respiratory mechanics, peak airway pressures and gas exchange as well as on lung surfactant and epithelial cell integrity in mice with acute lung injury. HCl-injured mice were ventilated at PEEPs of 3 and 6 cmH2O with conventional ventilation (CV), CV with intermittent large breaths (CVLB) to promote recruitment, and a new mode, variable ventilation, optimized for mice (VVN). Mechanics and gas exchange were measured during ventilation and surfactant protein (SP)-B, proSP-B and E-cadherin levels were determined from lavage and lung homogenate. PEEP had a significant effect on mechanics, gas exchange and the epithelium. The higher PEEP reduced lung collapse and improved mechanics and gas exchange but it also down regulated surfactant release and production and increased epithelial cell injury. While CVLB was better than CV, VVN outperformed CVLB in recruitment, reduced epithelial injury and, via a dynamic mechanotransduction, it also triggered increased release and production of surfactant. For long-term outcome, selection of optimal PEEP and ventilation mode may be based on balancing lung physiology with epithelial injury. PMID:23326543

  8. Effects of positive end-expiratory pressure on renal function.

    Science.gov (United States)

    Järnberg, P O; de Villota, E D; Eklund, J; Granberg, P O

    1978-01-01

    The effects were studied positive end-expiratory pressure (PEEP) on renal function in eight patients with acute respiratory failure, requiring mechanical ventilation. On application of PEEP + 10 cm H2O, central venous pressure increased, systolic blood pressure decreased, urine flow and PAH-clearance were reduced, while inulin clearance remained stable. There was a marked increase in fractional sodium reabsorption and a concurrent decrease in fractional osmolal excretion. Fractional free-water clearance and the ratio UOsm/POsm did change.

  9. Tidal Volume Delivery and Endotracheal Tube Leak during Cardiopulmonary Resuscitation in Intubated Newborn Piglets with Hypoxic Cardiac Arrest Exposed to Different Modes of Ventilatory Support.

    Science.gov (United States)

    Mendler, Marc R; Weber, Claudia; Hassan, Mohammad A; Huang, Li; Mayer, Benjamin; Hummler, Helmut D

    2017-01-01

    There are few data available on the interaction of inflations, chest compressions (CC), and delivery of tidal volumes in newborn infants undergoing resuscitation in the presence of endotracheal tube (ET) leaks. To determine the effects of different respiratory support strategies along with CC on changes in tidal volume and ET leaks in hypoxic newborn piglets with cardiac arrest. Asphyxiated newborn piglets, intubated with weight-adapted uncuffed ET, were randomized into three groups and resuscitated according to ILCOR 2010 guidelines: (1) T-piece resuscitator (TPR) group = peak inspiratory pressure (PIP)/positive end-expiratory pressure (PEEP) 25/5 cm H2O, rate 30/min, inflations interposed between CC (3:1 ratio); (2) self- inflating bag (SIB) group = PIP 25 cm H2O without PEEP, rate 30/min, inflations interposed between CC (3:1 ratio), and (3) ventilator group = PIP/PEEP of 25/5 cm H2O, rate 30/min. CC were applied with a rate of 120/min without synchrony to inflations. We observed a significant increase of leak (average increase 11.4%) when CC was added to respiratory support (p = 0.0001). Expired tidal volume was larger in the SIB group than in the two other modes which both applied PEEP. However, tidal volumes caused by CC only were larger in the two groups with PEEP than in the SIB group (without PEEP). There is interaction between lung inflations and CC affecting leak and delivery of tidal volume, which may be influenced by the mode/device used for respiratory support. Leak is larger in the presence of PEEP. However, CC cause additional tidal volume which is larger in the presence of PEEP. © 2016 S. Karger AG, Basel.

  10. Application of dead space fraction to titrate optimal positive end-expiratory pressure in an ARDS swine model.

    Science.gov (United States)

    Bian, Weishuai; Chen, Wei; Chao, Yangong; Wang, Lan; Li, Liming; Guan, Jian; Zang, Xuefeng; Zhen, Jie; Sheng, Bo; Zhu, Xi

    2017-04-01

    This study aimed to apply the dead space fraction [ratio of dead space to tidal volume (VD/VT)] to titrate the optimal positive end-expiratory pressure (PEEP) in a swine model of acute respiratory distress syndrome (ARDS). Twelve swine models of ARDS were constructed. A lung recruitment maneuver was then conducted and the PEEP was set at 20 cm H 2 O. The PEEP was reduced by 2 cm H 2 O every 10 min until 0 cm H 2 O was reached, and VD/VT was measured after each decrement step. VD/VT was measured using single-breath analysis of CO 2 , and calculated from arterial CO 2 partial pressure (PaCO 2 ) and mixed expired CO 2 (PeCO 2 ) using the following formula: VD/VT = (PaCO 2 - PeCO 2 )/PaCO 2 . The optimal PEEP was identified by the lowest VD/VT method. Respiration and hemodynamic parameters were recorded during the periods of pre-injury and injury, and at 4 and 2 cm H 2 O below and above the optimal PEEP (Po). The optimal PEEP in this study was found to be 13.25±1.36 cm H 2 O. During the Po period, VD/VT decreased to a lower value (0.44±0.08) compared with that during the injury period (0.68±0.10) (P<0.05), while the intrapulmonary shunt fraction reached its lowest value. In addition, a significant change of dynamic tidal respiratory compliance and oxygenation index was induced by PEEP titration. These results indicate that minimal VD/VT can be used for PEEP titration in ARDS.

  11. Variation of poorly ventilated lung units (silent spaces) measured by electrical impedance tomography to dynamically assess recruitment.

    Science.gov (United States)

    Spadaro, Savino; Mauri, Tommaso; Böhm, Stephan H; Scaramuzzo, Gaetano; Turrini, Cecilia; Waldmann, Andreas D; Ragazzi, Riccardo; Pesenti, Antonio; Volta, Carlo Alberto

    2018-01-31

    Assessing alveolar recruitment at different positive end-expiratory pressure (PEEP) levels is a major clinical and research interest because protective ventilation implies opening the lung without inducing overdistention. The pressure-volume (P-V) curve is a validated method of assessing recruitment but reflects global characteristics, and changes at the regional level may remain undetected. The aim of the present study was to compare, in intubated patients with acute hypoxemic respiratory failure (AHRF) and acute respiratory distress syndrome (ARDS), lung recruitment measured by P-V curve analysis, with dynamic changes in poorly ventilated units of the dorsal lung (dependent silent spaces [DSSs]) assessed by electrical impedance tomography (EIT). We hypothesized that DSSs might represent a dynamic bedside measure of recruitment. We carried out a prospective interventional study of 14 patients with AHRF and ARDS admitted to the intensive care unit undergoing mechanical ventilation. Each patient underwent an incremental/decremental PEEP trial that included five consecutive phases: PEEP 5 and 10 cmH 2 O, recruitment maneuver + PEEP 15 cmH 2 O, then PEEP 10 and 5 cmH 2 O again. We measured, at the end of each phase, recruitment from previous PEEP using the P-V curve method, and changes in DSS were continuously monitored by EIT. PEEP changes induced alveolar recruitment as assessed by the P-V curve method and changes in the amount of DSS (p Recruited volume measured by the P-V curves significantly correlated with the change in DSS (r s  = 0.734, p recruitment measured using the P-V curve technique. EIT might provide useful information to titrate personalized PEEP. ClinicalTrials.gov, NCT02907840 . Registered on 20 September 2016.

  12. Positive end-expiratory pressure improves gas exchange and pulmonary mechanics during partial liquid ventilation.

    Science.gov (United States)

    Kirmse, M; Fujino, Y; Hess, D; Kacmarek, R M

    1998-11-01

    Partial liquid ventilation (PLV) with perflubron (PFB) has been proposed as an adjunct to the current therapies for the acute respiratory distress syndrome (ARDS). Because PFB has been also referred to as "liquid PEEP," distributing to the most gravity-dependent regions of the lung, less attention has been paid to the amount of applied positive end-expiratory pressure (PEEP). We hypothesized that higher PEEP levels than currently applied are needed to optimize gas exchange, and that the lower inflection point (LIP) of the pressure-volume curve could be used to estimate the amount of PEEP needed when the lung is filled with PFB. Lung injury was induced in 23 sheep by repeated lung lavage with warmed saline until the PaO2/FIO2 ratio fell below 150. Five sheep were used to investigate the change of the LIP when the lung was filled with PFB in increments of 5 ml/kg/body weight to a total of 30 ml/kg/body weight. To evaluate the impact of PEEP set at LIP +1 cm H2O we randomized an additional 15 sheep to three groups with different doses (7.5 ml, 15 ml, 30 ml/kg/body weight) of PFB. In random order a PEEP of 5 cm H2O or PEEP at LIP +1 cm H2O was applied. The LIP decreased with incremental filling of PFB to a minimum at 10 ml (p PFB shifts the LIP to the left, and that setting PEEP at LIP +1 cm H2O improves gas exchange at moderate to high doses of PFB.

  13. The MOST - Monitor for Oxygenation of Surface and Tissue.

    Science.gov (United States)

    1995-10-01

    anesthesia Effectiveness of COR Bio-feedback for peripheral vasodilation Relationship of CPAP and PEEP to atelectasis Waveforms Diagnosis of irregularities...deliberate hypoxia in premature infants Servo-controlled saturation, prematures Converse 02 in home 02 therapy Determine optimal PEEP and CPAP Monitor...Kusakawa I, Ohata J, Kawano T, Honma Y. Use of Pulse Oximetry In Neonatal Anesthe- sia. J Perinatology. 1987:7;343-5. Nishimura S, Tomita Y, Horiuchi T

  14. Prediction of high airway pressure using a non-linear autoregressive model of pulmonary mechanics.

    Science.gov (United States)

    Langdon, Ruby; Docherty, Paul D; Schranz, Christoph; Chase, J Geoffrey

    2017-11-02

    For mechanically ventilated patients with acute respiratory distress syndrome (ARDS), suboptimal PEEP levels can cause ventilator induced lung injury (VILI). In particular, high PEEP and high peak inspiratory pressures (PIP) can cause over distension of alveoli that is associated with VILI. However, PEEP must also be sufficient to maintain recruitment in ARDS lungs. A lung model that accurately and precisely predicts the outcome of an increase in PEEP may allow dangerous high PIP to be avoided, and reduce the incidence of VILI. Sixteen pressure-flow data sets were collected from nine mechanically ventilated ARDs patients that underwent one or more recruitment manoeuvres. A nonlinear autoregressive (NARX) model was identified on one or more adjacent PEEP steps, and extrapolated to predict PIP at 2, 4, and 6 cmH 2 O PEEP horizons. The analysis considered whether the predicted and measured PIP exceeded a threshold of 40 cmH 2 O. A direct comparison of the method was made using the first order model of pulmonary mechanics (FOM(I)). Additionally, a further, more clinically appropriate method for the FOM was tested, in which the FOM was trained on a single PEEP prior to prediction (FOM(II)). The NARX model exhibited very high sensitivity (> 0.96) in all cases, and a high specificity (> 0.88). While both FOM methods had a high specificity (> 0.96), the sensitivity was much lower, with a mean of 0.68 for FOM(I), and 0.82 for FOM(II). Clinically, false negatives are more harmful than false positives, as a high PIP may result in distension and VILI. Thus, the NARX model may be more effective than the FOM in allowing clinicians to reduce the risk of applying a PEEP that results in dangerously high airway pressures.

  15. Barbarid, plastiliinijänes, Miriam ja Frank Muller / Annika Koppel

    Index Scriptorium Estoniae

    Koppel, Annika

    2003-01-01

    Nukufilm näitab 4 uut filmi : "Barbarid" (stsenaristid Andrus Kivirähk ja Hardi Volmer, režissöör H. Volmer), "Porgand" (stsenarist Peep Pedmanson, režissöör Pärtel Tall), "Miriami jõulupäkapikk" (stsenaristid Leelo Tungal ja Peep Pedmanson, režissöör Mait Laas), "Kuuvaatleja" (reklaamitreiler Frank Mulleri kellafirmale ; stsenarist, režissöör, kunstnik Mati Kütt)

  16. Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflammation in patients without preexisting lung injury.

    Science.gov (United States)

    Wolthuis, Esther K; Choi, Goda; Dessing, Mark C; Bresser, Paul; Lutter, Rene; Dzoljic, Misa; van der Poll, Tom; Vroom, Margreeth B; Hollmann, Markus; Schultz, Marcus J

    2008-01-01

    Mechanical ventilation with high tidal volumes aggravates lung injury in patients with acute lung injury or acute respiratory distress syndrome. The authors sought to determine the effects of short-term mechanical ventilation on local inflammatory responses in patients without preexisting lung injury. Patients scheduled to undergo an elective surgical procedure (lasting > or = 5 h) were randomly assigned to mechanical ventilation with either higher tidal volumes of 12 ml/kg ideal body weight and no positive end-expiratory pressure (PEEP) or lower tidal volumes of 6 ml/kg and 10 cm H2O PEEP. After induction of anesthesia and 5 h thereafter, bronchoalveolar lavage fluid and/or blood was investigated for polymorphonuclear cell influx, changes in levels of inflammatory markers, and nucleosomes. Mechanical ventilation with lower tidal volumes and PEEP (n = 21) attenuated the increase of pulmonary levels of interleukin (IL)-8, myeloperoxidase, and elastase as seen with higher tidal volumes and no PEEP (n = 19). Only for myeloperoxidase, a difference was found between the two ventilation strategies after 5 h of mechanical ventilation (P volumes and PEEP may limit pulmonary inflammation in mechanically ventilated patients without preexisting lung injury. The specific contribution of both lower tidal volumes and PEEP on the protective effects of the lung should be further investigated.

  17. Intratidal recruitment/derecruitment persists at low and moderate positive end-expiratory pressure in paediatric patients.

    Science.gov (United States)

    Wirth, Steffen; Artner, Lisa; Broß, Tobias; Lozano-Zahonero, Sara; Spaeth, Johannes; Schumann, Stefan

    2016-12-01

    In paediatric patients positive end-expiratory pressure (PEEP) is traditionally set lower than in adults. We investigated whether moderately higher PEEP improves respiratory mechanics and regional ventilation. Therefore, 40 children were mechanically ventilated with PEEP 2 and 5cmH 2 O. Volume-dependent compliance profiles were analysed as a measure of intratidal recruitment/derecruitment. Regional ventilation was assessed using electrical impedance tomography. Mean compliance was 17.9±9.9mLcmH 2 O -1 (PEEP 2cmH 2 O), and 19.0±10.9mLcmH 2 O -1 (PEEP 5 cmH 2 O, pventilation. In conclusion, mechanically ventilated paediatric patients undergo intratidal recruitment/derecruitment which occurs more prominently in younger than in older children. A PEEP of 5cmH 2 O does not fully prevent intratidal recruitment/derecruitment but homogenizes regional ventilation in comparison to 2cmH 2 O. Copyright © 2016 Elsevier B.V. All rights reserved.

  18. Kto samõi bogatõi v Estonii / Sten-Aleks Pihlak, Kärt Blumberg, Lemmi Kann

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2008-01-01

    Eesti laevatranspordi kolmik - Ain Hanschmidt, Enn Pant ja Kalev Järvelill on Äripäeva rikaste edetabelis esimesed. Viimaste kuude suure aktsiahinnalanguse tõttu on paljud Äripäeva rikaste edetabelis olijad kaotanud igast kolmest kroonist kaks. Artiklis selgitatakse miks on Äripäeva Rikaste TOPis vähe naisi. Lisad: Iz TOP-500 samõhh bogatõhh ljudei v Estonii; Reitingi bogatshei za prezhnije godõ; Metodika

  19. Kahtlustus: Reiljan ihkas krunti Tallinnas ja salaosalust firmas / Andrus Karnau

    Index Scriptorium Estoniae

    Karnau, Andrus

    2007-01-01

    Ilmunud ka: Postimees : na russkom jazõke, 23. okt. 2007, lk. 4. Riigiprokuratuuri neljast kahtlustusest Merko Ehituse ja selle suuromaniku Toomas Annuse suhtes: väidetav altkäemaksu lubamine Rahvaliidu endisele juhile, parlamendiliikmele Villu Reiljanile, väidetav altkäemaksu andmine maa-ameti endisele peadirektorile Kalev Kangurile, väidetav altkäemaksu andmine endisele põllumajandusministrile, parlamendiliikmele Ester Tuiksoole, T. Annuse väidetav usalduse kuritarvitamine Merko Ehituse suhtes

  20. Salapärane Boeing tõi Eestisse konteinereid / Ester Vilgats

    Index Scriptorium Estoniae

    Vilgats, Ester

    2005-01-01

    Ilmunud ka: Pärnu Postimees 8. nov., lk. 3, Postimees : na russkom jazõke 10. nov. lk. 10. Pärnu lennujaama juhataja Erki Teemägi ja Kaitsepolitsei Pärnu osakonna politseidirektor Kalev Kont kinnitasid, et Pärnu lennuväljal 12. jaanuaril 2003. aastal maandunud Boeing 737 vedas kaubakonteinereid, mitte terroristidest sõjavange, nagu väitis ajaleht Washington Post. Vt. samas: Neeme Raud. Inimõiguslased ootavad euroliidu sekkumist

  1. Oliver Kruuda : Valitsus on loll. Riiki ei juhi keegi / Oliver Kruuda ; interv. Urmo Soonvald

    Index Scriptorium Estoniae

    Kruuda, Oliver, 1967-

    2008-01-01

    Ilmunud ka: Vesti Dnja 28. mai lk. 4. Ärimees Oliver Kruuda majandusprobleemide põhjustest Eestis, peaminister Andrus Ansipist, hüpoteegipanga rajamise vajadusest, Eesti ajakirjanduse erapoolikust suhtumisest tema ja Edgar Savisaare tegevusse, Kalevi ja Tere müümisest, Kalev Meedia asutamise ajenditest ja perspektiividest, jõukusest, võlgadest, poegade kasvatamisest. Lisad: Kuidas riigi raha säästa; Kes on Oliver Kruuda?

  2. Töötaja leiab ka miinimumpalgaga / Ralf-Martin Soe

    Index Scriptorium Estoniae

    Soe, Ralf-Martin

    2007-01-01

    Ilmunud ka: Delovõje Vedomosti 31. okt. lk. 6. Madalate palkade TOP 10. Vt. samas: Küsimustele vastab Helter-R-i tegevjuht Kalev Kivipalu; Madal palk toob kaela maksuameti luubi alla sattumise; Endised töötajad: Helter-R-is sain palka osaliselt sulas; Tagant teine: suur juveelitootja - keskmine palk 3400 krooni kuus; Tagant kolmas koht: maksuamet uuris väikseid palku; Tabel. Kommenteerib Ruth Laatre

  3. Karl Kello - elukutse olla saarlane / Aare Laine

    Index Scriptorium Estoniae

    Laine, Aare, 1951-

    2004-01-01

    Kuressaare Kuursaalis näidati kadripäeval nelja Ruta Celma ja Karl Kello kultuuriloolist dokumentaalfilmi : "Narr Jumala kojas" (2000), "Phaetonit otsides" (1999), "Eestlased Lätis" (2004) ja Kalevipoja temaatikat arendav "Küll siis Kalev..." (2004). Filmide operaator on Arvo Vilu. Artikli autor kõneleb Karl Kellost, tema Karja kiriku ja Kaali järve problemaatika arendustest peale filmide ka kirjasõnas

  4. Kulka kroonis aasta kümme sulesangarit / Kaarel Kressa

    Index Scriptorium Estoniae

    Kressa, Kaarel, 1983-

    2010-01-01

    Eesti Kultuurkapital kirjanduse sihtkapitali aastaauhinnad: parim ilukirjanduslik proosateos Kalev Kesküla "Elu sumedusest", parim luulekogu Hasso Krull "Neli korda neli", esseistika kogumik Jaan Kaplinski "Paralleele ja parallelisme", vabaauhind Jaan Unduski koostatud Friedebert Tuglase teoste kogumik "Valik proosat", parim lasteraamat Mika Keränen "Peidetud hõbedane aardelaegas", parimad tõlked: Piret Salurilt (Mika Waltari "Sinuhe"), Jean Pascal Ollivry Tammsaare tõlked (Veritee et Justice : La Collin-du-Voleur ; Indrek)

  5. Aasta parimad teosed Krullilt ja Keskülalt / Heili Sibrits

    Index Scriptorium Estoniae

    Sibrits, Heili, 1977-

    2010-01-01

    Eesti Kultuurkapital kirjanduse sihtkapitali aastaauhinnad: parim ilukirjanduslik proosateos Kalev Kesküla "Elu sumedusest", parim luulekogu Hasso Krull "Neli korda neli", esseistika kogumik Jaan Kaplinski "Paralleele ja parallelisme", vabaauhind Jaan Unduski koostatud Friedebert Tuglase teoste kogumik "Valik proosat", parim lasteraamat Mika Keränen "Peidetud hõbedane aardelaegas", parimad tõlked: Piret Salurilt (Mika Waltari "Sinuhe"), Jean Pascal Ollivry Tammsaare tõlked (Veritee et Justice : La Collin-du-Voleur ; Indrek)

  6. Kommivabriku aura jääb Tondile. Ideid Kalevi kvartali tulevikuks / Piret Peensoo

    Index Scriptorium Estoniae

    Peensoo, Piret

    2003-01-01

    Tallinnas Järvevana tee ja Pärnu maantee vahelise ala ruumilise planeerimise ideeprojekti avalik arhitektuurikonkurss, võitjad Nikolai Volkov ja Liis Sagadi, 2. koht - Irina Raud, Toomas Tammis, Tarmo Teedumäe, Karl Luik, Renee Puusepp, 3. koht - Veronika Valk. Laste Maailma Galeriis võistlusprojektide näitus "Magus urbanism". Fakte kommivabriku "Kalev" ajaloost. Vabrik jätkab tööd Rae vallas Põrguväljal

  7. Ideed, mis muudavad maailma

    Index Scriptorium Estoniae

    2012-01-01

    Noorte ettevõtluskonkursi Ajujaht finalistidest: Richard Murutar (Dolphin), Andrus Purde (Achoo), Kalev Külaase, Ülane Vilumets, Rait Kapp (Kohalik Giid), Mart Raus, Vahur Mäe (Grillcube), Dmitri Kuznetsov, Anna Agronova, Julia Abolina, Anatoly Loginov (Healthiest.mobi), Karin Juhe, Karin Aruots (Korsid), Raino Sinisalu, Märt Pikkani, Arkadi Tammik, Varje Papp (Raybike), Egle Loit, Kair Käsper (Pille toidukott)

  8. Iõhvi ne sobral deneg na skulpturu dudotshnika

    Index Scriptorium Estoniae

    2008-01-01

    Jõhvi vallakunstnik Kalev Prits plaanib Jõhvi kontserdimaja juurde puu otsa paigaldada vilepillimängija skulptuuri ja kogub selleks sponsorraha. Tõenäoliselt asuvad uue skulptuuri kallal tööle läti kunstnik Edvin Kruminsh ja Aivar Simson. Kruminshi kätetöö on Jõhvi sissesõidutee ääres seisev metallist siil. Simpson on Jõhvi teinud karude ja lindude kujusid ning siilikujulisi lillepotte

  9. Indigolapsed - teistmoodi lapsed või lihtsalt lapsed? / Katrin Helend-Aaviku

    Index Scriptorium Estoniae

    Helend-Aaviku, Katrin

    2009-01-01

    Juuru rahvamajas näidati filmiõhtul James Twymani indigolastest rääkivat dokumentaalfilmi "Indigo evolutsioon" (USA, 2005). Filmi ning Lee Carrolli ja Jan Toberi raamatu "Indigolapsed: uus põlvkond on saabunud" põhjal järgnenud arutelust indigolastest koos psühholoog Pille Kuldkepi ja Kalev Veskimäega, kellel on soov luua Paidesse vabakool

  10. The President and the Intelligence Community: The Importance of the Relationship

    Science.gov (United States)

    2017-12-01

    Intelligence Successes and Failures in Operations Desert Shield/Storm, (Washington, DC: Government Printing Office, 1993), 2–3, http://www.dtic.mil... Intelligence as Leaders of the U.S. Intelligence Community 1946–2005. Washington, D.C.: Government Printing Office, 2005. Hedley, John Hollister...THE INTELLIGENCE COMMUNITY: THE IMPORTANCE OF THE RELATIONSHIP by Dane M. Holtmeyer December 2017 Thesis Advisor: Kalev I. Sepp

  11. Protective versus Conventional Ventilation for Surgery: A Systematic Review and Individual Patient Data Meta-analysis.

    Science.gov (United States)

    Serpa Neto, Ary; Hemmes, Sabrine N T; Barbas, Carmen S V; Beiderlinden, Martin; Biehl, Michelle; Binnekade, Jan M; Canet, Jaume; Fernandez-Bustamante, Ana; Futier, Emmanuel; Gajic, Ognjen; Hedenstierna, Göran; Hollmann, Markus W; Jaber, Samir; Kozian, Alf; Licker, Marc; Lin, Wen-Qian; Maslow, Andrew D; Memtsoudis, Stavros G; Reis Miranda, Dinis; Moine, Pierre; Ng, Thomas; Paparella, Domenico; Putensen, Christian; Ranieri, Marco; Scavonetto, Federica; Schilling, Thomas; Schmid, Werner; Selmo, Gabriele; Severgnini, Paolo; Sprung, Juraj; Sundar, Sugantha; Talmor, Daniel; Treschan, Tanja; Unzueta, Carmen; Weingarten, Toby N; Wolthuis, Esther K; Wrigge, Hermann; Gama de Abreu, Marcelo; Pelosi, Paolo; Schultz, Marcus J

    2015-07-01

    Recent studies show that intraoperative mechanical ventilation using low tidal volumes (VT) can prevent postoperative pulmonary complications (PPCs). The aim of this individual patient data meta-analysis is to evaluate the individual associations between VT size and positive end-expiratory pressure (PEEP) level and occurrence of PPC. Randomized controlled trials comparing protective ventilation (low VT with or without high levels of PEEP) and conventional ventilation (high VT with low PEEP) in patients undergoing general surgery. The primary outcome was development of PPC. Predefined prognostic factors were tested using multivariate logistic regression. Fifteen randomized controlled trials were included (2,127 patients). There were 97 cases of PPC in 1,118 patients (8.7%) assigned to protective ventilation and 148 cases in 1,009 patients (14.7%) assigned to conventional ventilation (adjusted relative risk, 0.64; 95% CI, 0.46 to 0.88; P ventilation with low VT and high PEEP levels and 63 cases in 525 patients (12%) assigned to ventilation with low VT and low PEEP levels (adjusted relative risk, 0.93; 95% CI, 0.64 to 1.37; P = 0.72). A dose-response relationship was found between the appearance of PPC and VT size (R2 = 0.39) but not between the appearance of PPC and PEEP level (R2 = 0.08). These data support the beneficial effects of ventilation with use of low VT in patients undergoing surgery. Further trials are necessary to define the role of intraoperative higher PEEP to prevent PPC during nonopen abdominal surgery.

  12. Pulmonary lesion induced by low and high positive end-expiratory pressure levels during protective ventilation in experimental acute lung injury.

    Science.gov (United States)

    Pássaro, Caroline P; Silva, Pedro L; Rzezinski, Andréia F; Abrantes, Simone; Santiago, Viviane R; Nardelli, Liliane; Santos, Raquel S; Barbosa, Carolina M L; Morales, Marcelo M; Zin, Walter A; Amato, Marcelo B P; Capelozzi, Vera L; Pelosi, Paolo; Rocco, Patricia R M

    2009-03-01

    To investigate the effects of low and high levels of positive end-expiratory pressure (PEEP), without recruitment maneuvers, during lung protective ventilation in an experimental model of acute lung injury (ALI). Prospective, randomized, and controlled experimental study. University research laboratory. Wistar rats were randomly assigned to control (C) [saline (0.1 mL), intraperitoneally] and ALI [paraquat (15 mg/kg), intraperitoneally] groups. After 24 hours, each group was further randomized into four groups (six rats each) at different PEEP levels = 1.5, 3, 4.5, or 6 cm H2O and ventilated with a constant tidal volume (6 mL/kg) and open thorax. Lung mechanics [static elastance (Est, L) and viscoelastic pressure (DeltaP2, L)] and arterial blood gases were measured before (Pre) and at the end of 1-hour mechanical ventilation (Post). Pulmonary histology (light and electron microscopy) and type III procollagen (PCIII) messenger RNA (mRNA) expression were measured after 1 hour of mechanical ventilation. In ALI group, low and high PEEP levels induced a greater percentage of increase in Est, L (44% and 50%) and DeltaP2, L (56% and 36%) in Post values related to Pre. Low PEEP yielded alveolar collapse whereas high PEEP caused overdistension and atelectasis, with both levels worsening oxygenation and increasing PCIII mRNA expression. In the present nonrecruited ALI model, protective mechanical ventilation with lower and higher PEEP levels than required for better oxygenation increased Est, L and DeltaP2, L, the amount of atelectasis, and PCIII mRNA expression. PEEP selection titrated for a minimum elastance and maximum oxygenation may prevent lung injury while deviation from these settings may be harmful.

  13. Differing responses in right and left ventricular filling, loading and volumes during positive end-expiratory pressure

    International Nuclear Information System (INIS)

    Schulman, D.S.; Biondi, J.W.; Matthay, R.A.; Zaret, B.L.; Soufer, R.

    1989-01-01

    Using a combined hemodynamic and radionuclide technique, 20 patients with varied ventricular function were evaluated during positive end-expiratory pressure (PEEP) application. Left ventricular (LV) and right ventricular (RV) ejection fractions and cardiac output were measured, and ventricular volumes were derived. Seven patients (group 1) who had an increase in LV end-diastolic volume with PEEP and 13 patients (group 2) who had the more typical response, a decrease in LV end-diastolic volume with PEEP, were identified. Compared with group 2, group 1 patients had a higher incidence of coronary artery disease (5 of 7 vs 1 of 13, p less than 0.005) and lower cardiac output (3.9 +/- 1.6 vs 9.1 +/- 3.2 liters/min, p less than 0.005), LV ejection fraction (27 +/- 13 vs 51 +/- 21%, p less than 0.05), RV ejection fraction (15 +/- 6 vs 32 +/- 8%, p less than 0.005) and peak filling rate (1.32 +/- 0.43 vs 3.51 +/- 1.70 end-diastolic volumes/s, p less than 0.05). LV and RV volumes increased and peak filling rate decreased with PEEP in group 1, whereas in group 2 LV volume decreased and RV volume and peak filling rate remained unchanged. Using stepwise regression analysis, the change in LV volume with PEEP was related directly to baseline systemic vascular resistance and inversely to baseline blood pressure. Similarly, the change in peak filling rate with PEEP was inversely related to the change in RV end-diastolic volume. Thus, the hemodynamic response to PEEP is heterogeneous and may be related to LV ischemia

  14. OPTIMUM LEVEL OF POSITIVE END-EXPIRATORY PRESSURE IN ACUTE RESPIRATORY DISTRESS SYNDROME CAUSED BY INFLUENZA A(H1NI)PDM09: BALANCE BETWEEN MAXIMAL END-EXPIRATORY VOLUME AND MINIMAL ALVEOLAR OVERDISTENSION.

    Science.gov (United States)

    Yaroshetskiym A I; Protsenko, D N; Boytsov, P V; Chentsov, V B; Nistratov, S L; Kudlyakov, O N; Solov'ev, V V; Banova, Zh I; Shkuratova, N V; Rezenov, N A; Gel'fand, B R

    2016-11-01

    to determine optimum level ofpositive end-expiratory pressure (PEEP) according to balance between maxi- mal end-expiratory lung volume (EEL V)(more than predicted) and minimal decrease in exhaled carbon dioxide volume (VCO) and then to develop the algorithm of gas exchange correction based on prognostic values of EEL K; alveolar recruitability, PA/FiO2, static compliance (C,,,) and VCO2. 27 mechanically ventilatedpatients with acute respiratory distress syndrome (ARDS) caused by influenza A (HINJ)pdm09 in Moscow Municipal Clinics ICU's from January to March 2016 were included in the trial. At the beginning of the study patients had the following characteristic: duration offlu symptoms 5 (3-10) days, p.0/FiO2 120 (70-50) mmHg. SOFA 7 (5-9), body mass index 30.1 (26.4-33.8) kg/m², static compliance of respiratory system 35 (30-40) ml/mbar: Under sedation and paralysis we measured EELV, C VCO and end-tidal carbon dioxide concentration (EtCO) (for CO₂ measurements we fixed short-term values after 2 min after PEEP level change) at PEEP 8, 11,13,15,18, 20 mbar consequently, and incase of good recruitability, at 22 and 24 mbar. After analyses of obtained data we determined PEEP value in which increase in EELV was maximal (more than predicted) and depression of VCO₂ was less than 20%, change in mean blood pressure and heart rate were both less than 20% (measured at PEEP 8 mbar). After that we set thus determined level of PEEP and didn't change it for 5 days. Comparision of predicted and measured EELV revealed two typical points of alveloar recruiment: the first at PEEP 11-15 mbar, the second at PEEP 20-22 mbar. EELV measured at PEEP 18 mbar appeared to be higher than predicted at PEEP 8 mbar by 400 ml (approx.), which was the sign of alveolar recruitment-1536 (1020-1845) ml vs 1955 (1360-2320) ml, p=0,001, Friedman test). we didn't found significant changes of VCO₂ when increased PEEP in the range from 8 to 15 mbar (p>0.05, Friedman test). PEEP increase from 15 to

  15. Influence of tidal volume on ventilation inhomogeneity assessed by electrical impedance tomography during controlled mechanical ventilation

    International Nuclear Information System (INIS)

    Becher, T; Kott, M; Schädler, D; Vogt, B; Meinel, T; Weiler, N; Frerichs, I

    2015-01-01

    The global inhomogeneity (GI) index is a parameter of ventilation inhomogeneity that can be calculated from images of tidal ventilation distribution obtained by electrical impedance tomography (EIT). It has been suggested that the GI index may be useful for individual adjustment of positive end-expiratory pressure (PEEP) and for guidance of ventilator therapy. The aim of the present work was to assess the influence of tidal volume (V_T) on the GI index values. EIT data from 9 patients with acute respiratory distress syndrome ventilated with a low and a high V_T of 5   ±   1 (mean  ±  SD) and 9   ±   1 ml kg"−"1 predicted body weight at a high and a low level of PEEP (PEEP_h_i_g_h, PEEP_l_o_w) were analyzed. PEEP_h_i_g_h and PEEP_l_o_w were set 2 cmH_2O above and 5 cmH_2O below the lower inflection point of a quasi-static pressure volume loop, respectively. The lower inflection point was identified at 8.1   ±   1.4 (mean  ±  SD) cmH_2O, resulting in a PEEP_h_i_g_h of 10.1   ±   1.4 and a PEEP_l_o_w of 3.1   ±   1.4 cmH_2O. At PEEP_h_i_g_h, we found no significant trend in GI index with low V_T when compared to high V_T (0.49   ±   0.15 versus 0.44   ±   0.09, p = 0.13). At PEEP_l_o_w, we found a significantly higher GI index with low V_T compared to high V_T (0.66   ±   0.19 versus 0.59   ±   0.17, p = 0.01). When comparing the PEEP levels, we found a significantly lower GI index at PEEP_h_i_g_h both for high and low V_T. We conclude that high V_T may lead to a lower GI index, especially at low PEEP settings. This should be taken into account when using the GI index for individual adjustment of ventilator settings. (paper)

  16. Injurious mechanical ventilation in the normal lung causes a progressive pathologic change in dynamic alveolar mechanics.

    Science.gov (United States)

    Pavone, Lucio A; Albert, Scott; Carney, David; Gatto, Louis A; Halter, Jeffrey M; Nieman, Gary F

    2007-01-01

    Acute respiratory distress syndrome causes a heterogeneous lung injury, and without protective mechanical ventilation a secondary ventilator-induced lung injury can occur. To ventilate noncompliant lung regions, high inflation pressures are required to 'pop open' the injured alveoli. The temporal impact, however, of these elevated pressures on normal alveolar mechanics (that is, the dynamic change in alveolar size and shape during ventilation) is unknown. In the present study we found that ventilating the normal lung with high peak pressure (45 cmH(2)0) and low positive end-expiratory pressure (PEEP of 3 cmH(2)O) did not initially result in altered alveolar mechanics, but alveolar instability developed over time. Anesthetized rats underwent tracheostomy, were placed on pressure control ventilation, and underwent sternotomy. Rats were then assigned to one of three ventilation strategies: control group (n = 3, P control = 14 cmH(2)O, PEEP = 3 cmH(2)O), high pressure/low PEEP group (n = 6, P control = 45 cmH(2)O, PEEP = 3 cmH(2)O), and high pressure/high PEEP group (n = 5, P control = 45 cmH(2)O, PEEP = 10 cmH(2)O). In vivo microscopic footage of subpleural alveolar stability (that is, recruitment/derecruitment) was taken at baseline and than every 15 minutes for 90 minutes following ventilator adjustments. Alveolar recruitment/derecruitment was determined by measuring the area of individual alveoli at peak inspiration (I) and end expiration (E) by computer image analysis. Alveolar recruitment/derecruitment was quantified by the percentage change in alveolar area during tidal ventilation (%I - E Delta). Alveoli were stable in the control group for the entire experiment (low %I - E Delta). Alveoli in the high pressure/low PEEP group were initially stable (low %I - E Delta), but with time alveolar recruitment/derecruitment developed. The development of alveolar instability in the high pressure/low PEEP group was associated with histologic lung injury. A large change in

  17. Open lung approach versus standard protective strategies: Effects on driving pressure and ventilatory efficiency during anesthesia - A pilot, randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Carlos Ferrando

    Full Text Available Low tidal volume (VT during anesthesia minimizes lung injury but may be associated to a decrease in functional lung volume impairing lung mechanics and efficiency. Lung recruitment (RM can restore lung volume but this may critically depend on the post-RM selected PEEP. This study was a randomized, two parallel arm, open study whose primary outcome was to compare the effects on driving pressure of adding a RM to low-VT ventilation, with or without an individualized post-RM PEEP in patients without known previous lung disease during anesthesia.Consecutive patients scheduled for major abdominal surgery were submitted to low-VT ventilation (6 ml·kg-1 and standard PEEP of 5 cmH2O (pre-RM, n = 36. After 30 min estabilization all patients received a RM and were randomly allocated to either continue with the same PEEP (RM-5 group, n = 18 or to an individualized open-lung PEEP (OL-PEEP (Open Lung Approach, OLA group, n = 18 defined as the level resulting in maximal Cdyn during a decremental PEEP trial. We compared the effects on driving pressure and lung efficiency measured by volumetric capnography.OL-PEEP was found at 8±2 cmH2O. 36 patients were included in the final analysis. When compared with pre-RM, OLA resulted in a 22% increase in compliance and a 28% decrease in driving pressure when compared to pre-RM. These parameters did not improve in the RM-5. The trend of the DP was significantly different between the OLA and RM-5 groups (p = 0.002. VDalv/VTalv was significantly lower in the OLA group after the RM (p = 0.035.Lung recruitment applied during low-VT ventilation improves driving pressure and lung efficiency only when applied as an open-lung strategy with an individualized PEEP in patients without lung diseases undergoing major abdominal surgery.ClinicalTrials.gov NCT02798133.

  18. A Recruiting Maneuver Algorithm in Patients with Early Acute Respiratory Distress Syndrome

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    D. I. Levikov

    2011-01-01

    Full Text Available Objective: to evaluate the efficiency of a recruiting maneuver (RM and adjustment of positive end-expiratory pressure (PEEP in patients with early acute respiratory distress syndrome (ARDS. Subjects and methods. The study enrolled 16 patients (14 men and 2 women aged 46 to 78 years (range 62±5.6 years with ARDS of various genesis. RM was made, by stepwisely increasing PEEP and inspiratory pressure under the control of dynamic lung compliance and hemodynamic parameters. The values of blood gas composition and hemodynamics were determined during the study. Results. RM caused an increase in oxygenation index (OI from 153.5±48.3 to 348.5±53.2 mm Hg. Oxygenation values returned to the baseline levels 30—40 min after the PEEP was set at the closure point of +2 cm H2O. If the set PEEP was 8—10 cm H2O higher than the objective, the effect of RM was retained for as long as 24 hours. When RM was performed using the maximum pressure of 50—60 cm H2O, the cardiac index (CI was lower in all the patients and 30—50% of the baseline values were achieved in all cases, which required the optimization of cardiotonic therapy. The time of this pronounced reduction in cardiac output with RM was not longer than 5 min. After RM, during mechanical ventilation with 18—26 cm H2O PEEP, the CI did not practically differ from the baseline values (3.31±0.41 and 3.37±0.36 l/min/m2, respectively, though the dopamine dose required to maintain normal hemodynamics was somewhat higher (7.5±2.3 and 6.3±2.6 ^g/kg/min. Conclusion. Analysis of the given cases suggests that RM is highly effective in patients at the early stages of acute lung injury. The duration of RM effects may depend on the set PEEP level in individual cases. Setting PEEP at a level of +2—4 cm H2O fails to prevent repeated alveolar derecruitment in a number of patients. In these cases, it is expedient to individually adjust PEEP levels, by taking into account the long-term changes in OI and Cdyn. In

  19. Setting ventilation parameters guided by electrical impedance tomography in an animal trial of acute respiratory distress syndrome

    Science.gov (United States)

    Czaplik, Michael; Biener, Ingeborg; Leonhardt, Steffen; Rossaint, Rolf

    2014-03-01

    Since mechanical ventilation can cause harm to lung tissue it should be as protective as possible. Whereas numerous options exist to set ventilator parameters, an adequate monitoring is lacking up to date. The Electrical Impedance Tomography (EIT) provides a non-invasive visualization of ventilation which is relatively easy to apply and commercially available. Although there are a number of published measures and parameters derived from EIT, it is not clear how to use EIT to improve clinical outcome of e.g. patients suffering from acute respiratory distress syndrome (ARDS), a severe disease with a high mortality rate. On the one hand, parameters should be easy to obtain, on the other hand clinical algorithms should consider them to optimize ventilator settings. The so called Global inhomogeneity (GI) index bases on the fact that ARDS is characterized by an inhomogeneous injury pattern. By applying positive endexpiratory pressures (PEEP), homogeneity should be attained. In this study, ARDS was induced by a double hit procedure in six pigs. They were randomly assigned to either the EIT or the control group. Whereas in the control group the ARDS network table was used to set the PEEP according to the current inspiratory oxygen fraction, in the EIT group the GI index was calculated during a decremental PEEP trial. PEEP was kept when GI index was lowest. Interestingly, PEEP was significantly higher in the EIT group. Additionally, two of these animals died ahead of the schedule. Obviously, not only homogeneity of ventilation distribution matters but also limitation of over-distension.

  20. A Case of Shunting Postoperative Patent Foramen Ovale Under Mechanical Ventilation Controlled by Different Ventilator Settings.

    Science.gov (United States)

    Pragliola, Claudio; Di Michele, Sara; Galzerano, Domenico

    2017-06-07

    A 56-year old male with ischemic heart disease and an unremarkable preoperative echocardiogram underwent surgical coronary revascularization. An intraoperative post pump trans-esophageal echocardiogram (TOE) performed while the patient was being ventilated at a positive end expiratory pressure (PEEP) of 8 cm H 2 O demonstrated a right to left interatrial shunt across a patent foramen ovale (PFO). Whereas oxygen saturation was normal, a reduction of the PEEP to 3 cm H 2 O led to the complete resolution of the shunt with no change in arterial blood gases. Attempts to increase the PEEP level above 3 mmHg resulted in recurrence of the interatrial shunt. The remaining of the TEE was unremarkable. Mechanical ventilation, particularly with PEEP, causes an increase in intrathoracic pressure. The resulting rise in right atrial pressure, mostly during inspiration, may unveil and pop open an unrecognized PFO, thus provoking a right to left shunt across a seemingly intact interatrial septum. This phenomenon increases the risk of paradoxical embolism and can lead to hypoxemia. The immediate management would be to adjust the ventilatory settings to a lower PEEP level. A routine search for a PFO should be performed in ventilated patients who undergo a TEE.

  1. A case of shunting postoperative patent foramen ovale under mechanical ventilation controlled by different ventilator settings

    Directory of Open Access Journals (Sweden)

    Claudio Pragliola

    2017-08-01

    Full Text Available A 56-year old male with ischemic heart disease and an unremarkable preoperative echocardiogram underwent surgical coronary revascularization. An intraoperative post pump trans-esophageal echocardiogram (TOE performed while the patient was being ventilated at a positive end expiratory pressure (PEEP of 8 cm H2O demonstrated a right to left interatrial shunt across a patent foramen ovale (PFO. Whereas oxygen saturation was normal, a reduction of the PEEP to 3 cm H2O led to the complete resolution of the shunt with no change in arterial blood gases. Attempts to increase the PEEP level above 3 mmHg resulted in recurrence of the interatrial shunt. The remaining of the TEE was unremarkable. Mechanical ventilation, particularly with PEEP, causes an increase in intrathoracic pressure. The resulting rise in right atrial pressure, mostly during inspiration, may unveil and pop open an unrecognized PFO, thus provoking a right to left shunt across a seemingly intact interatrial septum. This phenomenon increases the risk of paradoxical embolism and can lead to hypoxemia. The immediate management would be to adjust the ventilatory settings to a lower PEEP level. A routine search for a PFO should be performed in ventilated patients who undergo a TEE.

  2. Sustained Aeration of Infant Lungs (SAIL) trial: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Foglia, Elizabeth E; Owen, Louise S; Thio, Marta; Ratcliffe, Sarah J; Lista, Gianluca; Te Pas, Arjan; Hummler, Helmut; Nadkarni, Vinay; Ades, Anne; Posencheg, Michael; Keszler, Martin; Davis, Peter; Kirpalani, Haresh

    2015-03-15

    Extremely preterm infants require assistance recruiting the lung to establish a functional residual capacity after birth. Sustained inflation (SI) combined with positive end expiratory pressure (PEEP) may be a superior method of aerating the lung compared with intermittent positive pressure ventilation (IPPV) with PEEP in extremely preterm infants. The Sustained Aeration of Infant Lungs (SAIL) trial was designed to study this question. This multisite prospective randomized controlled unblinded trial will recruit 600 infants of 23 to 26 weeks gestational age who require respiratory support at birth. Infants in both arms will be treated with PEEP 5 to 7 cm H2O throughout the resuscitation. The study intervention consists of performing an initial SI (20 cm H20 for 15 seconds) followed by a second SI (25 cm H2O for 15 seconds), and then PEEP with or without IPPV, as needed. The control group will be treated with initial IPPV with PEEP. The primary outcome is the combined endpoint of bronchopulmonary dysplasia or death at 36 weeks post-menstrual age. www.clinicaltrials.gov , Trial identifier NCT02139800 , Registered 13 May 2014.

  3. Bench performance of ventilators during simulated paediatric ventilation.

    Science.gov (United States)

    Park, M A J; Freebairn, R C; Gomersall, C D

    2013-05-01

    This study compares the accuracy and capabilities of various ventilators using a paediatric acute respiratory distress syndrome lung model. Various compliance settings and respiratory rate settings were used. The study was done in three parts: tidal volume and FiO2 accuracy; pressure control accuracy and positive end-expiratory pressure (PEEP) accuracy. The parameters set on the ventilator were compared with either or both of the measured parameters by the test lung and the ventilator. The results revealed that none of the ventilators could consistently deliver tidal volumes within 1 ml/kg of the set tidal volume, and the discrepancy between the delivered volume and the volume measured by the ventilator varied greatly. The target tidal volume was 8 ml/kg, but delivered tidal volumes ranged from 3.6-11.4 ml/kg and the volumes measured by the ventilator ranged from 4.1-20.6 ml/kg. All the ventilators maintained pressure within 20% of the set pressure, except one ventilator which delivered pressures of up to 27% higher than the set pressure. Two ventilators maintained PEEP within 10% of the prescribed PEEP. The majority of the readings were also within 10%. However, three ventilators delivered, at times, PEEPs over 20% higher. In conclusion, as lung compliance decreases, especially in paediatric patients, some ventilators perform better than others. This study highlights situations where ventilators may not be able to deliver, nor adequately measure, set tidal volumes, pressure, PEEP or FiO2.

  4. Positive end-expiratory pressure increases pulmonary clearance of inhaled 99mTc-DTPA in nonsmokers but not in healthy smokers

    International Nuclear Information System (INIS)

    Nolop, K.B.; Braude, S.; Royston, D.; Maxwell, D.L.; Hughes, J.M.B.

    1987-01-01

    Positive end-expiratory pressure (PEEP) is widely used in the treatment of severe pulmonary oedema, although its effects on the clearance of water and small solutes from alveolus to blood are not well characterized. We studied the effect of the application of 10 cmH 2 O of PEEP on the flux of inhaled 99 mTc-diethylene-triamine-penta-acetic acid (DTPA) from lung to blood in six healthy smoking and six nonsmoking subjects. The rate of flux was corrected for possible changes in pulmonary blood volume during PEEP by use of an intravenous injection of 99m Tc-DTPA. The baseline clearance rate (K,%.min -1 ) for nonsmokers was 1.48±0.12 (mean±SE) and increased to 2.40±0.29 during PEEP (p<0.05). In contrast, the mean clearance rate for smokers was 3.26±0.82 at baseline and 3.03±0.82 during PEEP (p=NS). The application of positive end-expiratory pressure appears to increase alveolar solute flux in nonsmokers but not in smokers, suggesting that the pathway for solute clearance in smokers is governed by different rate-limiting steps to those of nonsmokers

  5. Positional effects on distribution of ventilation in chronic obstructive pulmonary disease

    International Nuclear Information System (INIS)

    Shim, C.; Chun, K.J.; Williams, M.H. Jr.; Blaufox, M.D.

    1986-01-01

    Ventilation is distributed predominantly to the dependent lung in normal persons in the decubitus position. We evaluated the distribution of ventilation in four patients with mild-to-moderate chronic obstructive pulmonary disease using 81mKr gas. Patients were tested in the sitting and right and left decubitus positions with and without the application of positive end expiratory pressure (PEEP). In contrast to findings in controls, ventilation was predominantly distributed to the nondependent lung in patients in the decubitus position. Mean ventilation in the right lung decreased from 51% of the total in the sitting position to 31% in the right decubitus position; it increased with the application of 10 cm PEEP. Reduced ventilation in the dependent lung most likely is caused by closure of the airways after a decrease in volume. Application of PEEP resulted in increased lung volume and preferential distribution of ventilation to the dependent lung

  6. Low pulmonary artery flush perfusion pressure combined with high positive end-expiratory pressure reduces oedema formation in isolated porcine lungs

    International Nuclear Information System (INIS)

    Schumann, Stefan; Schließmann, Stephan J; Wagner, Giskard; Goebel, Ulrich; Priebe, Hans-Joachim; Guttmann, Josef; Kirschbaum, Andreas

    2010-01-01

    Flush perfusion of the pulmonary artery with organ protection solution is a standard procedure before lung explantation. However, rapid flush perfusion may cause pulmonary oedema which is deleterious in the lung transplantation setting. In this study we tested the hypotheses that high pulmonary perfusion pressure contributes to the development of pulmonary oedema and positive end-expiratory pressure (PEEP) counteracts oedema formation. We expected oedema formation to increase weight and decrease compliance of the lungs on the basis of a decrease in alveolar volume as fluid replaces alveolar air spaces. The pulmonary artery of 28 isolated porcine lungs was perfused with a low-potassium dextrane solution at low (mean 27 mmHg) or high (mean 40 mmHg) pulmonary artery pressure (PAP) during mechanical ventilation at low (4 cmH 2 O) or high (8 cmH 2 O) PEEP, respectively. Following perfusion and storage, relative increases in lung weight were smaller (p < 0.05) during perfusion at low PAP (62 ± 32% and 42 ± 26%, respectively) compared to perfusion at high PAP (133 ± 54% and 87 ± 30%, respectively). Compared to all other PAP–PEEP combinations, increases in lung weight were smallest (44 ± 9% and 27 ± 12%, respectively), nonlinear intratidal lung compliance was largest (46% and 17% respectively, both p < 0.05) and lung histology showed least infiltration of mononuclear cells in the alveolar septa, and least alveolar destruction during the combination of low perfusion pressure and high PEEP. The findings suggest that oedema formation during pulmonary artery flush perfusion in isolated and ventilated lungs can be reduced by choosing low perfusion pressure and high PEEP. PAP–PEEP titration to minimize pulmonary oedema should be based on lung mechanics and PAP monitoring

  7. Low tidal volume and high positive end-expiratory pressure mechanical ventilation results in increased inflammation and ventilator-associated lung injury in normal lungs.

    Science.gov (United States)

    Hong, Caron M; Xu, Da-Zhong; Lu, Qi; Cheng, Yunhui; Pisarenko, Vadim; Doucet, Danielle; Brown, Margaret; Aisner, Seena; Zhang, Chunxiang; Deitch, Edwin A; Delphin, Ellise

    2010-06-01

    Protective mechanical ventilation with low tidal volume (Vt) and low plateau pressure reduces mortality and decreases the length of mechanical ventilation in patients with acute respiratory distress syndrome. Mechanical ventilation that will protect normal lungs during major surgical procedures of long duration may improve postoperative outcomes. We performed an animal study comparing 3 ventilation strategies used in the operating room in normal lungs. We compared the effects on pulmonary mechanics, inflammatory mediators, and lung tissue injury. Female pigs were randomized into 3 groups. Group H-Vt/3 (n = 6) was ventilated with a Vt of 15 mL/kg predicted body weight (PBW)/positive end-expiratory pressure (PEEP) of 3 cm H(2)O, group L-Vt/3 (n = 6) with a Vt of 6 mL/kg PBW/PEEP of 3 cm H(2)O, and group L-Vt/10 (n = 6) with a Vt of 6 mL/kg PBW/PEEP of 10 cm H(2)O, for 8 hours. Hemodynamics, airway mechanics, arterial blood gases, and inflammatory markers were monitored. Bronchoalveolar lavage (BAL) was analyzed for inflammatory markers and protein concentration. The right lower lobe was assayed for mRNA of specific cytokines. The right lower lobe and right upper lobe were evaluated histologically. In contrast to groups H-Vt/3 and L-Vt/3, group L-Vt/10 exhibited a 6-fold increase in inflammatory mediators in BAL (P ventilation with high PEEP resulted in increased production of inflammatory markers. Low PEEP resulted in lower levels of inflammatory markers. High Vt/low PEEP resulted in less histologic lung injury.

  8. [A comparison of leak compensation in six acute care ventilators during non-invasive ventilation].

    Science.gov (United States)

    Hu, X S; Wang, Y; Wang, Z T; Yan, P; Zhang, X G; Zhao, S F; Xie, F; Gu, H J; Xie, L X

    2017-02-12

    Objective: To compare the ability of leak compensation in 6 medical ventilators during non-invasive ventilation. Methods: Six medical ventilators were selected, including 3 non-invasive ventilators (V60, Flexo and Stellar150), and 3 invasive ventilators(Avea, Servo I and BellaVist). Using a lung simulator, the ability of leak compensation was evaluated during triggering and cycling in 2 respiratory mechanics conditions (high airway resistance condition and high elastance resistance condition), and each condition was performed under 2 PEEP levels (4, and 8 cmH(2)O, 1 mmHg=0.098 kPa) at 4 air leak level conditions (L0: 2-3 L/min, L1: 8-10 L/min, L2: 22-27 L/min, L3: 35-40 L/min). Results: In the high elastance resistance condition (L2, L3)with different leak levels, the number of auto-triggering and miss-triggering of the non-invasive ventilator Flexo was significantly less than those of the others (L2: 1, 1; L3: 1.67, 1.33, P ventilators ( P ventilators (1, 0.67, 0, P ventilators in both high airway resistance and high elastance resistance conditions with L0 and L1 leak levels and PEEP levels [ARDS, PEEP=4: (109.8±1.8) ms, (112.0±0.6) ms; ARDS, PEEP=8: (103.1±0.7) ms, (109.7±0.7) ms; COPD, PEEP=4: (207.3±1.1) ms, (220.8±1.1) ms; COPD, PEEP=8: (195.6±6.7) ms, (200.0±1.2) ms , P ventilators could be synchronized, among which V60, Stellar150 and Flexo presented a good performance features in specific conditions.

  9. Nonassociative learning promotes respiratory entrainment to mechanical ventilation.

    Directory of Open Access Journals (Sweden)

    Shawna M MacDonald

    Full Text Available BACKGROUND: Patient-ventilator synchrony is a major concern in critical care and is influenced by phasic lung-volume feedback control of the respiratory rhythm. Routine clinical application of positive end-expiratory pressure (PEEP introduces a tonic input which, if unopposed, might disrupt respiratory-ventilator entrainment through sustained activation of the vagally-mediated Hering-Breuer reflex. We suggest that this potential adverse effect may be averted by two differentiator forms of nonassociative learning (habituation and desensitization of the Hering-Breuer reflex via pontomedullary pathways. METHODOLOGY/PRINCIPAL FINDINGS: We tested these hypotheses in 17 urethane-anesthetized adult Sprague-Dawley rats under controlled mechanical ventilation. Without PEEP, phrenic discharge was entrained 1:1 to the ventilator rhythm. Application of PEEP momentarily dampened the entrainment to higher ratios but this effect was gradually adapted by nonassociative learning. Bilateral electrolytic lesions of the pneumotaxic center weakened the adaptation to PEEP, whereas sustained stimulation of the pneumotaxic center weakened the entrainment independent of PEEP. In all cases, entrainment was abolished after vagotomy. CONCLUSIONS/SIGNIFICANCE: Our results demonstrate an important functional role for pneumotaxic desensitization and extra-pontine habituation of the Hering-Breuer reflex elicited by lung inflation: acting as buffers or high-pass filters against tonic vagal volume input, these differentiator forms of nonassociative learning help to restore respiratory-ventilator entrainment in the face of PEEP. Such central sites-specific habituation and desensitization of the Hering-Breuer reflex provide a useful experimental model of nonassociative learning in mammals that is of particular significance in understanding respiratory rhythmogenesis and coupled-oscillator entrainment mechanisms, and in the clinical management of mechanical ventilation in

  10. Evaluation of lung recruitment maneuvers in acute respiratory distress syndrome using computer simulation.

    Science.gov (United States)

    Das, Anup; Cole, Oana; Chikhani, Marc; Wang, Wenfei; Ali, Tayyba; Haque, Mainul; Bates, Declan G; Hardman, Jonathan G

    2015-01-12

    Direct comparison of the relative efficacy of different recruitment maneuvers (RMs) for patients with acute respiratory distress syndrome (ARDS) via clinical trials is difficult, due to the heterogeneity of patient populations and disease states, as well as a variety of practical issues. There is also significant uncertainty regarding the minimum values of positive end-expiratory pressure (PEEP) required to ensure maintenance of effective lung recruitment using RMs. We used patient-specific computational simulation to analyze how three different RMs act to improve physiological responses, and investigate how different levels of PEEP contribute to maintaining effective lung recruitment. We conducted experiments on five 'virtual' ARDS patients using a computational simulator that reproduces static and dynamic features of a multivariable clinical dataset on the responses of individual ARDS patients to a range of ventilator inputs. Three recruitment maneuvers (sustained inflation (SI), maximal recruitment strategy (MRS) followed by a titrated PEEP, and prolonged recruitment maneuver (PRM)) were implemented and evaluated for a range of different pressure settings. All maneuvers demonstrated improvements in gas exchange, but the extent and duration of improvement varied significantly, as did the observed mechanism of operation. Maintaining adequate post-RM levels of PEEP was seen to be crucial in avoiding cliff-edge type re-collapse of alveolar units for all maneuvers. For all five patients, the MRS exhibited the most prolonged improvement in oxygenation, and we found that a PEEP setting of 35 cm H2O with a fixed driving pressure of 15 cm H2O (above PEEP) was sufficient to achieve 95% recruitment. Subsequently, we found that PEEP titrated to a value of 16 cm H2O was able to maintain 95% recruitment in all five patients. There appears to be significant scope for reducing the peak levels of PEEP originally specified in the MRS and hence to avoid exposing the lung to

  11. Uudised

    Index Scriptorium Estoniae

    2007-01-01

    Kalev Saare näitus "Portfolio" Võru Linnagaleriis kuni 2. III. Arhitektuurinäitused "Praha kubism" ja Jozhe Plechnik" Eesti Arhitektuurimuuseumis 03.-04. 2007. Tallinnas Soo 4 avatud kunsti- ja sisustusgaleriist SooSoo (galeristid Kadi Kõpper, Ülle Jehe), kus avanäitusena on kuni 17. III väljas Martin Pedaniku graafikaseeria "Kizoo". Hando Tamme maalinäitus "Meie aja kangelased vol 2" Jõhvi Kunstikooli galeriis 5.-31. III. Kunstiteaduste Instituudi Talvefoorum 007 ja muusikaürituste sari Müsteerium 3.-4. III Juurus. Loetletud "Kujundite taaskasutusel" esinejaid

  12. Kuidas olla peresõbralik tööandja : muret valmistab erisoodustusmaks, kuid hoolivus on ülesanne number üks

    Index Scriptorium Estoniae

    2008-01-01

    Oma ettevõtte peresõbralikkusest ja paindlikkusest räägivad Kädi Vestberg HR factory OÜ-st, Kadri Johanson CV-Keskusest, Kati Oja reisibüroost Estravel, Helena Erm Scania Eesti AS-ist, Moonika Kähr kinnisvarafirmast Uus Maa, Liina Oks Sampo pangast, Reet Treial Balti Investeeringute Grupi Pank AS-ist, Ülle Matt elektroonikafirmast Elcoteq, Silvia Savik Nukuteatrist, Ülle Filin Tele2 Eesti AS-ist, Sirje Tammiste Sirje Tammiste Konsultandibüroost, Getri Järvsoo Fortum Termest AS-ist ja Kärt Kirso AS-ist Kalev Chocolate Factory

  13. Magusaärist lahkuv Kruuda vajas raha investeeringuteks / Lauri Linnamäe

    Index Scriptorium Estoniae

    Linnamäe, Lauri

    2007-01-01

    Ärimees Oliver Kruuda müüs Kalevi ja Tere toiduainetööstused Eesti investeerimisfirmale Alta Capital, kelle esindaja Indrek Rahumaa sõnul on mõlemad pooled rahul. Finantsinspektsiooni taunivast suhtumisest müügiettevalmistuste väikeaktsionäride eest saladuses hoidmise pärast. Vt. samas: Võidusõitjast suurinvestor; Savisaar taunis Kalevi müüki; Andrus Karnau intervjuud Oliver Kruudaga: Meediaportaali nimeks saab Kalev.ee. Lisa: Alta Capital Partners; Kalevi grupi struktuur; Skandaalne K-kohuke

  14. President tunnustab Pärnumaad kümne riikliku autasuga / Eno-Gerrit Link

    Index Scriptorium Estoniae

    Link, Eno-Gerrit

    2007-01-01

    Pärnumaalt saavad iseseisvuspäeva puhul riikliku autasu kümme inimest. Vt. samas: Ester Vilgats. Ivar Kaldasaunal on alati kollektiiviga vedanud; Vello Lahtvee kolmkümmend aastat kohtunikuna. Teenetemärgi pälvinute seas on Lääne-Eesti päästekeskuse direktor Ivar Kaldasaun ja Pärnu maakohtu kohtunik Vello Lahtvee. Vt. ka juhtkiri lk. 15: Vilgats, Kalev. Ebaõigluse visa vastupanu. Rüütliristi kavaler Harald Nugiseks jäi taas teenetemärgist ilma

  15. Ettevõtja hea nime kaitseks / Olari Koppel

    Index Scriptorium Estoniae

    Koppel, Olari

    2004-01-01

    Ilmunud ka: Meie Maa, 1. dets. 2004, lk. 2; Põhjarannik, 30. nov. 2004, lk. 2; Severnoje Poberezhje, 30. nov. 2004, lk. 2; Pärnu Postimees, 2. dets. 2004, lk. 11; Koit, 2. dets. 2004, lk. 6; Sakala, 3. dets. 2004, lk. 2; Hiiu Leht, 3. dets. 2004, lk. 2. Sotsiaaldemokraatide arvates peab ettevõtte ja ettevõtja hea käekäik kajastuma ka töötajate heaolu kasvus. Vastuseks Kalev Kuke art. 24. nov. ajal. Vali Uudised

  16. Unistused muudavad maailma / Enn Tammearu

    Index Scriptorium Estoniae

    Tammearu, Enn

    2000-01-01

    Rocca al Mare koolimaja ehitamisest, AS KGM Ehitus meeskonnast ja juhatuse esimehest Tiit Nurklikust. Projekti autor: AB Urbel & Peil. Arhitektid Emil Urbel, Indrek Erm, sisearhitekt Taso Mähar, projektijuht Ivar Aus. Konstruktiivne osa: E-Inseneribüroo. Kooli direktori Rein Rebase, I. Ausi, I. Ermi ja T. Nurkliku kommentaarid. Nr. 11, lk. 4-6: Rocca al Mare koolile 2000. a. parima betoonehitise tiitel. Akustik Linda Madalik. Monoliitbetoonitööd: AS Roxor Ehitus. Arvamust avaldavad: T. Nurklik, I. Erm, OÜ Roxoe Ehituse tehniline juht Kalev Ramjalg, žürii esimees Aadu Kana

  17. Juhtimisülesanne : ja kalad saavad ka kinga / Ergo Metsla ; kommenteerinud Algis Perens, Liis Luuk

    Index Scriptorium Estoniae

    Metsla, Ergo, 1968-

    2010-01-01

    Juhtimisülesanne, kus ettevõte on pärast turu kokkulanemist sattunud majanduslikesse raskustesse ning ettevõtte juhid on valiku ees, kas lõhkuda aastaid koos töötanud meeskond ja koondada töötajaid või leida firma püsimajäämiseks mõni muu variant. Lahendust otsivad konsultantsioonifirma Helvetia Balti Partnerid juhatuse esimees Algis Perens ja Kalev SPA Veekeskuse müügi- ja turundusassistent Liis Luuk

  18. Andres Ellamaa : suurperede seostamine asotsiaalsusega mõjub koletislikult / Andres Ellamaa ; interv. Indrek Veiserik

    Index Scriptorium Estoniae

    Ellamaa, Andres, 1944-

    2008-01-01

    Vestlus doktor Andres Ellamaaga suurperede toetamisest, kunstlikust viljastamisest. Lisaks: Kuidas kommenteerite dr. Andres Ellamaa 2. juuni Postimehes ilmunud artikli järel tekkinud diskussiooni avalikkuses ja meedias? Kommenteerivad Tallinna Arstide Liidu juhatuse liige Peeter Mardna ja Jõgeva haigla juhataja Peep Põdder

  19. Kriisiaasta - tasu tõusis 300 000krooni : Ülikoolid: rektorite sissetulek kasvab / Kadri Paas

    Index Scriptorium Estoniae

    Paas, Kadri, 1982-

    2010-01-01

    Eesti suuremate kõrgkoolide rektorite sissetulek on aastaid kerkinud, sõltumata sellest, kas majandus õitseb või langeb. Mullust edetabelit juhib Tallinna Tehnikaülikooli rektor Peep Sürje, kelle aastatasu kerkis 300 000 krooni võrra. Ka Tartu Ülikooli rektori Alar Karise ja Tallinna Ülikooli rektori Rein Raua palkadest

  20. Eesti funktsionalismi näitus Jyväskyläs / Karin Hallas-Murula

    Index Scriptorium Estoniae

    Hallas-Murula, Karin, 1957-

    2002-01-01

    6. VIII-15. IX Alvar Aalto muuseumis Eesti Arhitekuurimuuseumi näitus "Funktsionalism Eestis". Eksponeeritakse 1930. aastate originaalprojekte, digitaliseeritud ajaloolisi fotosid ning makette. Näituse ja kataloogi on koostanud Karin Hallas-Murula, näituse kujundanud Peeter Mauer, kataloogi kujundanud Jaanus Tamme ja Jaak Peep (Tank)

  1. Millise mängufilmi tellis Sõõrumaa Falcki peoks / Andris Feldmanis

    Index Scriptorium Estoniae

    Feldmanis, Andris, 1982-

    2006-01-01

    Mängufilm või pseudodokumentaalfilm "Hundi agoonia", mis valminud ärimees Urmas Sõõrumaa tellimustööna turvafirma Falck 15-ks sünnipäevaks : režissöör Asko Kase, produtsent Artur Talvik, stsenarist Peep Pedmanson : RUUT Pictures 2006

  2. Urmas Sõõrumaa rentis peoks terve linnahalli / Kirsti Vainküla

    Index Scriptorium Estoniae

    Vainküla, Kirsti, 1972-

    2006-01-01

    Peol esilinastub mängufilm "Hundi agoonia", mis valminud tellimustööna : režissöör Asko Kase, produtsent Artur Talvik, stsenarist Peep Pedmanson : RUUT Pictures 2006. Lisaks sõnum "Miljonäri äriimpeerium"

  3. "Siis sõi Sõõrumaa Punamütsikese ka ära..." / Jüri Muttika

    Index Scriptorium Estoniae

    Muttika, Jüri

    2006-01-01

    Mängufilm või pseudodokumentaalfilm "Hundi agoonia", mis valminud ärimees Urmas Sõõrumaa tellimustööna turvafirma Falck 15-ks sünnipäevaks : režissöör Asko Kase, produtsent Artur Talvik, stsenarist Peep Pedmanson : RUUT Pictures 2006. Lisaks tutvustus "Hundi agoonia"

  4. Norma juht hämas Venemaa osas / Annika Matson

    Index Scriptorium Estoniae

    Matson, Annika, 1976-

    2005-01-01

    Norma juhatuse esimees Peep Siimon teatas osalise tööaja rakendamise vajadust 551 töötaja puhul ning põhjendab seda keerulise olukorraga Venemaal. Diagramm: Vene autoturg kasvab. Vt. samas: Eesti analüütikud osalise tööaja teadet ei pelga. Kommenteerib Valentin Jurkin

  5. Atonen ja Aaviksoo tegid eile esimese 3G kõne / Viktoria Korpan

    Index Scriptorium Estoniae

    Korpan, Viktoria, 1976-

    2003-01-01

    Majandusminister Meelis Atonen ja Eesti Mobiiltelefoni juht Peep Aaviksoo pidasid EMT tehnoloogiakeskuses esimese ametliku kõne 3G testvõrgus. Lisaks tavakõnele videokõnet ja kiiret andmesidet võimaldav teenus jõuab kommertskasutusse orienteeruvalt aastal 2005, lubas Aaviksoo

  6. Surfactant impairment after mechanical ventilation with large alveolar surface area changes and effects of positive end-expiratory pressure

    NARCIS (Netherlands)

    S.J.C. Verbrugge (Serge); S.H. Bohm; D.A.M.P.J. Gommers (Diederik); L.J.I. Zimmermann (Luc); B.F. Lachmann (Burkhard)

    1998-01-01

    textabstractWe have assessed the effects of overinflation on surfactant function and composition in rats undergoing ventilation for 20 min with 100% oxygen at a peak inspiratory pressure of 45 cm H2O, with or without PEEP 10 cm H2O (groups 45/10 and 45/0, respectively).

  7. Suurfirmade 2008. aasta eelarved kinnitavad majanduse jahtumist / Mikk Salu

    Index Scriptorium Estoniae

    Salu, Mikk, 1975-

    2008-01-01

    Eesti suurettevõtete juhid räägivad, kuidas nad oma ettevõtte uue aasta eelarvet on planeerinud, kui palju on arvestanud palgakasvuks. Pindi Kinnisvara arvestab oma tulude 20-protsendilise langusega. Peep Sooman, Enn Saar, Vahur Roossaar, Tarmo Noop, Siim Kallast ja Meelis Milder vastavad küsimusele, millist palgatõusu nad prognoosivad 2008. aastal

  8. Oistrahhi-festival võtab vastu belgia muusikuid / Toivo Traks

    Index Scriptorium Estoniae

    Traks, Toivo

    2006-01-01

    Belgia rahvuspühale pühendatud kontsertidest: fagotimängija Pierre Dubuisson'i esinemisest 21. juulil Pärnu raekoja saalis ja belgia bass-baritoni Lione Lhote ning Peep Lassmanni kontserdist 21. juulil Eliisabeti kirikus, Vanbrugh Quarteti kontserdist Tallinnas

  9. Effects of a preemptive alveolar recruitment strategy on arterial oxygenation during one-lung ventilation with different tidal volumes in patients with normal pulmonary function test.

    Science.gov (United States)

    Jung, Jong Dal; Kim, Sang Hun; Yu, Byung Sik; Kim, Hye Ji

    2014-08-01

    Hypoxemia during one-lung ventilation (OLV) remains a major concern. The present study compared the effect of alveolar recruitment strategy (ARS) on arterial oxygenation during OLV at varying tidal volumes (Vt) with or without positive end-expiratory pressure (PEEP). In total, 120 patients undergoing wedge resection by video assisted thoracostomy were randomized into four groups comprising 30 patients each: those administered a 10 ml/kg tidal volume with or without preemptive ARS (Group H and Group H-ARS, respectively) and those administered a 6 ml/kg tidal volume and a 8 cmH2O PEEP with or without preemptive ARS (Group L and Group L-ARS, respectively). ARS was performed using pressure-controlled ventilation with a 40 cmH2O plateau airway pressure and a 15 cmH2O PEEP for at least 10 breaths until OLV began. Preemptive ARS significantly improved the PaO2/FiO2 ratio compared to the groups that did not receive ARS (P volume combined with 8 cmH2O PEEP after preemptive ARS may reduce the risk of pulmonary injury caused by high tidal volume during one-lung ventilation in patients with normal pulmonary function.

  10. Spatial distribution of sequential ventilation during mechanical ventilation of the uninjured lung: an argument for cyclical airway collapse and expansion

    Directory of Open Access Journals (Sweden)

    Altemeier William A

    2010-05-01

    Full Text Available Abstract Background Ventilator-induced lung injury (VILI is a recognized complication of mechanical ventilation. Although the specific mechanism by which mechanical ventilation causes lung injury remains an active area of study, the application of positive end expiratory pressure (PEEP reduces its severity. We have previously reported that VILI is spatially heterogeneous with the most severe injury in the dorsal-caudal lung. This regional injury heterogeneity was abolished by the application of PEEP = 8 cm H2O. We hypothesized that the spatial distribution of lung injury correlates with areas in which cyclical airway collapse and recruitment occurs. Methods To test this hypothesis, rabbits were mechanically ventilated in the supine posture, and regional ventilation distribution was measured under four conditions: tidal volumes (VT of 6 and 12 ml/kg with PEEP levels of 0 and 8 cm H2O. Results We found that relative ventilation was sequentially redistributed towards dorsal-caudal lung with increasing tidal volume. This sequential ventilation redistribution was abolished with the addition of PEEP. Conclusions These results suggest that cyclical airway collapse and recruitment is regionally heterogeneous and spatially correlated with areas most susceptible to VILI.

  11. Lung-protective ventilation in intensive care unit and operation room : Tidal volume size, level of positive end-expiratory pressure and driving pressure

    NARCIS (Netherlands)

    Serpa Neto, A.

    2017-01-01

    Several investigations have shown independent associations between three ventilator settings – tidal volume size, positive end–expiratory pressure (PEEP) and driving pressure – and outcomes in patients with the acute respiratory distress syndrome (ARDS). There is an increasing notion that similar

  12. Lung-protective perioperative mechanical ventilation

    NARCIS (Netherlands)

    Hemmes, S.N.T.

    2015-01-01

    Intraoperative ventilation has the potential to cause lung injury and possibly increase risk of pulmonary complications after surgery. Use of large tidal volumes could cause overdistension of lung tissue, which can be aggravated by too high levels of positive end-expiratory pressure (PEEP). Too low

  13. Respiratory System Mechanics During Low Versus High Positive End-Expiratory Pressure in Open Abdominal Surgery: A Substudy of PROVHILO Randomized Controlled Trial

    NARCIS (Netherlands)

    D'Antini, Davide; Huhle, Robert; Herrmann, Jacob; Sulemanji, Demet S.; Oto, Jun; Raimondo, Pasquale; Mirabella, Lucia; Hemmes, Sabrine N. T.; Schultz, Marcus J.; Pelosi, Paolo; Kaczka, David W.; Vidal Melo, Marcos Francisco; Gama de Abreu, Marcelo; Cinnella, Gilda

    2018-01-01

    In the 2014 PROtective Ventilation using HIgh versus LOw positive end-expiratory pressure (PROVHILO) trial, intraoperative low tidal volume ventilation with high positive end-expiratory pressure (PEEP = 12 cm H2O) and lung recruitment maneuvers did not decrease postoperative pulmonary complications

  14. [Alveolar ventilation and recruitment under lung protective ventilation].

    Science.gov (United States)

    Putensen, Christian; Muders, Thomas; Kreyer, Stefan; Wrigge, Hermann

    2008-11-01

    Goal of mechanical ventilation is to improve gas exchange and reduce work of breathing without contributing to further lung injury. Besides providing adequate EELV and thereby arterial oxygenation PEEP in addition to a reduction in tidal volume is required to prevent cyclic alveolar collapse and tidal recruitment and hence protective mechanical ventilation. Currently, there is no consensus if and if yes at which price alveolar recruitment with high airway pressures should be intended ("open up the lung"), or if it is more important to reduce the mechanical stress and strain to the lungs as much as possible ("keep the lung closed"). Potential of alveolar recruitment differs from patient to patient but also between lung regions. Potential for recruitment depends probably more on regional lung mechanics - especially on lung elastance - than on the underlying disease. Based on available data neither high PEEP nor other methods used for alveolar recruitment could demonstrate a survival benefit in patients with ARDS. These results may support an individualized titration of PEEP or other manoeuvres used for recruitment taking into consideration the regional effects. Bedside imaging techniques allowing titration of PEEP or other manoeuvres to prevent end-expiratory alveolar collapse (tidal recruitment) and inspiratory overinflation may be a promising development.

  15. Early Phonological Development: Creating an Assessment Test

    Science.gov (United States)

    Stoel-Gammon, Carol; Williams, A. Lynn

    2013-01-01

    This paper describes a new protocol for assessing the phonological systems of two-year-olds with typical development and older children with delays in vocabulary acquisition. The test (Profiles of Early Expressive Phonological Skills ("PEEPS"), Williams & Stoel-Gammon, in preparation) differs from currently available assessments in…

  16. Parts pakub pensionilisa kinnisvara tagatisel / Kadri Bank

    Index Scriptorium Estoniae

    Bank, Kadri

    2008-01-01

    Ilmunud ka: Delovõje Vedomosti 30. jaan. lk. 4. Majandusminister Juhan Parts pakub välja ideed, mis võimaldaks pensionäril saada oma kinnisvara eest igakuist pensionilisa. Vt. samas: Skeem: Pensionilisa kinnisvara tagatisel; Vanurid koduga riskima ei tõtta. Kommenteerivad Valdek Mikkal, Triin Messimas ja Peep Sooman

  17. Teated

    Index Scriptorium Estoniae

    2008-01-01

    Kontserdid TÜ aulas: Tartu Ülikooli kammerkoori kevadkontsert 16. märtsil, pianist Peep Lassmann 18. märtsil (kavas: Sumera "Pala aastast 1981", Liszt-Rossini "Stabat Mater", Liszt-Verdi "Rigoletto parafraas", Liszt "Tuisk" ja "Hispaania rapsoodia"), saksofonikvartett Sax-Est 19. märtsil, kontsert "Richard Ritsing - 105" 28. märtsil

  18. The effect of positive end-expiratory pressure on pulse pressure ...

    African Journals Online (AJOL)

    The effect of positive end-expiratory pressure on pulse pressure variation. FJ Smith, M Geyser, I Schreuder, PJ Becker. Abstract. Objectives: To determine the effect of different levels of positive end-expiratory pressure (PEEP) on pulse pressure variation (PPV). Design: An observational study. Setting: Operating theatres of a ...

  19. Masin ei küsi kõrgemat palka / Teeli Remmelg

    Index Scriptorium Estoniae

    Remmelg, Teeli

    2007-01-01

    Ettevõtjad näevad tööjõupuuduse nappuse lahendusena uute masinate ostmist ja töödistsipliini parandamist. Kommenteerib Ott Licht. Küsimusele vastavad Peep Siimon, Jaanus Vihand, Viktor Valkiainen, Erkki Pärtin, Peeter Mõrd ja Triin Kaasik

  20. Virmaliste valge kuma / Piret Veigel

    Index Scriptorium Estoniae

    Veigel, Piret, 1961-

    2004-01-01

    Kirsi ja Marko Ekströmi valge modernne ridaelamukorter (73 mø) Helsingis. Köögimööbel valmistati Eesti firmas Idema, projekti autor Peep Savason. Idemas tehti ka tualettruumi sisustus. K. Ekströmi kommentaarid. 13 ill

  1. Director läks ja küsis / Indrek Randveer, Evelyn Karming, Priit Palk ... [jt.

    Index Scriptorium Estoniae

    2010-01-01

    EMT teenindus- ja müügidirektor Indrek Randveer, Estraveli müügidirektor Evelyn Karming, ABC King/Nero/SHU/Suurtüki turundusjuht Anne-Liis Ostov, kohvik-restoran Crepp juhataja Priit Palk ja Sokos Hotel Viru kommunikatsioonijuht Peep Ehasalu vastavad küsimustele, mis puudutavad nende kogemusi keerukate ja absurdsete kliendikaebuste kohta

  2. Eestil odava tööjõu eelis kadunud / Liis Kängsepp

    Index Scriptorium Estoniae

    Kängsepp, Liis, 1981-

    2005-01-01

    Database Central Europe'i tehtud tööjõu maksumuse uuringu järgi on tööjõukulu Eestis tunduvalt suurem kui Lätis, Leedus ning mitmes Ida-Euroopa riigis. Diagrammid. Kommenteerivad: Peep Siimon, Taavi Veskimägi, Jaak Leimann ja Ilmar Petersen

  3. The value of laparoscopic classifications in decision on definitive ...

    African Journals Online (AJOL)

    The value of laparoscopic classifications in decision on definitive surgery in patients ... was to present our clinical experience with the laparoscopic approach in patients ... in 10 cases in whom cord structures were seen entering the internal inguinal ring. ... Four canalicular testes (peeping) were treated with open orchiopexy.

  4. Teater täis sära ja müstikat / Ell-Maaja Randküla

    Index Scriptorium Estoniae

    Randküla, Ell-Maaja, 1939-2016

    2005-01-01

    Tallinnas Pärnu mnt. 5 asuva Eesti Draamateatri renoveerimine. Sisekujundus: Mari Kurismaa, Stuudio Kurismaa. Arhitektuurne lahendus: AB Kolde Grupp ( arhitektid Peep Jänes, Indrek Suigusaar). Ehitus: AS Estconde E. Mari Kurismaast, tema tähtsamad loomingulised saavutused maalikunstnikuna ja sisearhitektina. M. Kurismaa kommentaarid. Ill.: plaan, 10 värv. vaadet

  5. 32 CFR Appendix D to Part 154 - Reporting of Nonderogatory Cases

    Science.gov (United States)

    2010-07-01

    ... travel, education, visits, correspondence, relatives, or contact with persons from or living in a foreign..., window-peeping, and similar situations from whatever source. Unlisted full-time employment or education; full-time education or employment that cannot be verified by any reference or record source or that...

  6. Tallinna ülikool ehitab uue Ursa maja / Mihkel Tamm

    Index Scriptorium Estoniae

    Tamm, Mihkel

    2017-01-01

    2018. a. veebruaris kavatseb Tallinna Ülikool hakata lammutama loodus- ja terviseteaduste õppehoonet ehk Ursa maja. Amortiseerunud hoone asemele ehitatakse uus, mille uksed loodetakse tudengitele avada 2019. aasta sügissemestriks. Selgitusi uue hoone kahta jagab TLÜ kantsler Peep Jonas ning kavandatava õueala kohta keskkonnakorralduse professor Helen Sooväli-Sepping

  7. Köitekunstist pärikarva / Maarja Undusk

    Index Scriptorium Estoniae

    Undusk, Maarja

    2000-01-01

    Rahvusvahelisest köitekunsti ja kalligraafianäirusest "Scripta manent II" Tallinna Kunstihoones. Miks valiti tekstiautoreiks J. Kaplinski ja D. Kareva. Peeter Brambati ja Peep Laansalu videofilmis näidatakse köiteid ka seestpoolt. Filmi muusika - Peeter Vähi

  8. An experimental randomized study of six different ventilatory modes in a piglet model with normal lungs

    DEFF Research Database (Denmark)

    Nielsen, J B; Sjöstrand, U H; Henneberg, S W

    1991-01-01

    -controlled intermittent positive-pressure ventilation; and SV-20P denotes pressure-controlled intermittent positive-pressure ventilation. With all modes of ventilation a PEEP of 7.5 cm H2O was used. In the abbreviations used, the number denotes the ventilatory frequency in breaths per minute (bpm). HFV indicates that all...

  9. Yli 100 syytä mennä Viroon / Terhi Pääskylä-Malmström

    Index Scriptorium Estoniae

    Pääskylä-Malmström, Terhi, 1979-

    2015-01-01

    Tutvustus: Did you know that there are over 100 exciting, quirky, unique and important reasons to visit Estonia! = Tiesitkö että on yli 100 jännittävää, outoa, ainutlaatuista ja tärkeää syytä tulla Viroon? / koostanud Jussi-Pekka Aukia, Peep Ehasalu. Tallinn : AS Sokotel, 2015

  10. Mis on "Sõrmuste isanda" edu saladus?

    Index Scriptorium Estoniae

    2002-01-01

    Toimetuse küsimusele vastavad Ilmar Raag ja Peep Pedmanson. Küsimuse all on Peter Jacksoni esimene film J.R.R. Tolkieni triloogia "Sõrmuste isand" alusel - "Sõrmuse vennaskond", "The Lord of the Rings : The Fellowship of the Ring" : Uus-Meremaa, Ameerika Ühendriigid 2001

  11. Effects of Inhaled Fenoterol and Positive End-Expiratory Pressure on the Respiratory Mechanics of Patients with Chronic Obstructive Pulmonary Disease

    Directory of Open Access Journals (Sweden)

    Claude Guerin

    2005-01-01

    Full Text Available BACKGROUND: During acute ventilatory failure in patients with chronic obstructive pulmonary disease (COPD, applying external positive end-expiratory pressure (PEEPe will reopen small airways and, thus, may enhance peripheral deposition as well as the physiological effects of inhaled beta-2 agonists.

  12. Eesti seep saab hoo sisse / Maria Ulfsak

    Index Scriptorium Estoniae

    Ulfsak, Maria, 1981-

    2003-01-01

    Kanal 2s algab uus kodumaine komöödiasari "Õpetajate tuba", mille käsikiri on Peep Pedmansonilt, lavastus Ivo Eensalult, näitlejad on Ita Ever, Eino Baskin, Madis Milling, Henrik Normann, Maria Klenskaja, Margus Tabor jt., tootjafirmaks "Ruut"

  13. Läänemere filmiamatöörid Tallinnas

    Index Scriptorium Estoniae

    2002-01-01

    5. ja 6. oktoobril peeti Tallinna Kinomajas 33. avatud Balti amatöörfilmide festival, mille žüriid juhtis Peep Puks. Ühe II auhinna sai Daniel Müntineni alias Dan Leadi animafilm "Punapäine päikeseloojang" ja ühe III auhinna Elen Lotmani tõsielufilm "Homo sapiens"

  14. Partial liquid ventilation improves lung function in ventilation-induced lung injury

    NARCIS (Netherlands)

    G.F. Vazquez de Anda; R.A. Lachmann; S.J.C. Verbrugge (Serge); D.A.M.P.J. Gommers (Diederik); J.J. Haitsma (Jack); B.F. Lachmann (Burkhard)

    2001-01-01

    textabstractDisturbances in lung function and lung mechanics are present after ventilation with high peak inspiratory pressures (PIP) and low levels of positive end-expiratory pressure (PEEP). Therefore, the authors investigated whether partial liquid ventilation can re-establish

  15. Effects of positive end expiratory pressure administration during non-invasive ventilation in patients affected by amyotrophic lateral sclerosis: A randomized crossover study.

    Science.gov (United States)

    Crescimanno, Grazia; Greco, Francesca; Arrisicato, Salvo; Morana, Noemi; Marrone, Oreste

    2016-10-01

    No studies have evaluated the impact of different settings of non-invasive ventilation (NIV) in patients affected by amyotrophic lateral sclerosis (ALS). We explored consequences of positive end-expiratory pressure (PEEP) application on effectiveness of ventilation, sleep architecture and heart rate variability (HRV) in patients with ALS naïve to ventilatory treatment. In two consecutive nights, 25 patients received in random order 0 or 4 cm H2 0 of PEEP during nocturnal NIV administration (Idea Ultra ResMed) with the same level of total positive inspiratory pressure. Polysomnographies were performed to evaluate sleep and NIV quality, as well as HRV. HRV was analyzed on 4-h periods and on 5-min segments of stable NREM sleep. We did not observe differences in gas exchanges during NIV with and without PEEP. Conversely, during PEEP application increases in leaks (41.4 ± 29.3% vs 31.0 ± 25.7%, P = 0.0007) and in autotriggerings (4.2 (IQR 1.3-10.0) vs 0.9 (IQR 0.0-3.0) events/h, P NIV was associated with worse NIV and sleep quality and with higher sympathetic activity. © 2016 Asian Pacific Society of Respirology.

  16. Õpetaja, kus asub Kennedy neem? / Marii Karell

    Index Scriptorium Estoniae

    Karell, Marii, 1980-

    2003-01-01

    Kanal 2s algab uus kodumaine komöödiaseriaal "Õpetajate tuba", mille käsikiri on Peep Pedmansonilt, lavastaja Ivo Eensalu, kes artiklis meenutab oma kooliaegu. Lisaks sõnumid "Eino Baskin sokutas õpetaja istumise alla siili" ja "Madis Milling - rohkem kõnemees kui tangensite tagaajaja"

  17. Tallinna linn või aukude plombeerimine = City of Tallinn or filling of holes / Veljo Kaasik

    Index Scriptorium Estoniae

    Kaasik, Veljo

    1999-01-01

    "Eesti Päevalehes" ilmunud arhitektide viimase aja karakteersemate tööde hindamistabelist, selles olevast Nissani keskusest (Andres Siim, Hanno Kreis), Hansapanga hoonest ja Stockmanni kaubamajast (Peep Jänes). Tallinna arhitektuurist kui tervikust. Tallinnas on palju tühje krunte, rekonstrueerimist ootavaid linnaosi ja suuri üksikhooneid. Linn realiseerub läbi investorite majandusliku huvitatuse

  18. Torontos peeti eesti dokfilmifestivali "Estdoc's" / Olev Remsu

    Index Scriptorium Estoniae

    Remsu, Olev, 1947-

    2006-01-01

    Toronto eesti dokumentaalfilmide festival "Estdoc's". Demonstreeriti filme: "Sinimäed" (Raimo Jõerand), "Tiim" (Peep Puks), "Mikk" (Rein Raamat, Peeter Brambat), "6 tundi" (Rein Kotov), "Erna retk" (Vaado Sarapuu), "Tõrjutud mälestused" (Imbi Paju), "Middendorfi jälgedes" (Riho Västrik), "Mehed unustatud armeest" (Indrek Treufeldt), "Nagu noor jumal" ja "Orjus Eestis" (mõlema autor Olev Remsu)

  19. Ilo Pariisi varjus / Kaia Sisask

    Index Scriptorium Estoniae

    Sisask, Kaia

    2003-01-01

    Portreefilm Pariisis giidina töötavast kirjanik Juhan Jaigi tütrest Ilo Jaik-Riedbergist "Ilo Pariisis" : stsenarist ja režissöör Peep Puks : operaatorid Arvo Vilu, Ago Ruus, Heli Arvo Vilu, Henn Liiva, Jüri Vaher : teksti loeb Anu Lamp : muusikaline kujundus Merike Vaino : filmi direktor Maie Kerma : Pro-Film 2002

  20. Telesügis: uued omasaated ja õnnemängud / Erika Klaats

    Index Scriptorium Estoniae

    Klaats, Erika, 1954-

    2010-01-01

    ETV ekraanile jõudvatest draamasarjadest "Klass: elu pärast" ja "ENSV" ning Mati Talviku ajaloosarjast "Ajavaod". Kanal 2 ekraanile jõudvast draamasarjast "Pilvede all", dokumentaalsarjast "Eesti maffia", saatest "Tantsud tähtedega". TV 3 ekraanile jõudvast saatest "Eesti talent" ja komöödiasarjast "Kälimehed" (stsenarist Peep Pedmanson)

  1. Persistent puhnonary hypertension ofthe neonate in a developing ...

    African Journals Online (AJOL)

    the study period. Their clinical characteristics are dis- played in Tables IT and ITl. Comparison of the clinical, ventilatory and laboratory findings of the survivors v. the non-survivors .... Fio, = fractional concentration of inspired oxygen; PEEP = positive end expiratory ... had multi-organ failure and was assessed as having a.

  2. Kutseõpetaja - ideaalid ja reaalsus / Ülo Tikk

    Index Scriptorium Estoniae

    Tikk, Ülo

    2003-01-01

    Kutseõpetajate koolituse üle vahetavad mõtteid TPÜ töö- ja kutseõpetuse osakonna professor Ants Tarraste, Tallinna Ehituskooli direktor Kaljo-Ilmar Tiitso, Paide Kutsekeskkooli direktori kt. Mare Veermaa, Valga Kutseõppekeskuse õpetaja Peep Leppik ja Tartu abilinnapea Vladimir ?okman

  3. Maardu ja Jõelähtme maa alla võib tulla elektrijaam / Erik Müürsepp

    Index Scriptorium Estoniae

    Müürsepp, Erik

    2009-01-01

    OÜ Maardu Graniidikaevandus taotleb graniidikaevanduse luba, ettevõtte juhi Peep Siitami väitel oleks kaeveõõnte hilisem kasutamine pump-hüdroakumulatsioonijaama asukohana parim võimalus kuni 1000 megavati võimsuse ulatuses tuulikuparkide töö ühtlustamiseks

  4. Eramu Suurupis = A House in Suurupi / Tiina Mang

    Index Scriptorium Estoniae

    Mang, Tiina

    2002-01-01

    2002. a. valminud eramu projekteeris Arhitektibüroo Emil Urbel. Arhitektid Emil Urbel ja Indrek Erm, sisearhitekt Tiina Mang, konstruktor Peep Rosenberg. Projekt 2000-2001. 7 ill.: I korruse plaan, sise- ja välisvaated.Emil Urbel (arhitektibüroo).

  5. Obesity does not influence the onset and offset of sevoflurane effect as measured by the hysteresis between sevoflurane concentration and bispectral index.

    Science.gov (United States)

    Cortínez, Luis I; Gambús, Pedro; Trocóniz, Iñaki F; Echevarría, Ghislaine; Muñoz, Hernán R

    2011-07-01

    The onset and offset of action of anesthetic gases might be delayed by respiratory changes and gas exchange alterations present in obese patients. In this study, we assessed the influence of obesity on the hysteresis between sevoflurane and its effect as measured by the bispectral index (BIS). Because the use of positive end-expiratory pressure (PEEP) in obese patients has improved gas exchange, we also assessed the influence of PEEP on hysteresis. Fifteen obese and 15 normal-weight patients, ASA physical status I and II, 20 to 50 years old, scheduled to undergo general anesthesia for elective laparoscopic surgery, were prospectively studied. Anesthesia was induced with propofol and maintained with sevoflurane and fentanyl. At the end of surgery and after stable BIS values of 60 to 65, the inspired concentration of sevoflurane was increased to 5 vol% for 5 minutes or until BIS was rate constant was not influenced by body mass index or PEEP (P > 0.05). Neither obesity nor PEEP showed any influence on the PK/PD descriptors. Our results do not support the hypothesis that obesity prolongs induction or recovery times when sevoflurane, a poorly soluble anesthetic, is used to maintain anesthesia from 90 to 120 minutes.

  6. Lilleküla jalgpallistaadion = Lilleküla Football Stadium / Haldo Oravas

    Index Scriptorium Estoniae

    Oravas, Haldo, 1960-

    2001-01-01

    Arhitekt, projekti ja detailplaneeringu (AS Eesti Projekt, 1999) autor Haldo Oravas. Projekteerijad: ETP Grupp, projektijuht Aare Uusalu, arhitekt Peep Urb. Sisekujundaja Sirje Pohl. Projekt 2000-2001. 8 ill.: V korruse ja asendiplaan, tribüüni lõige, vaated

  7. Afbrydelsens kronotopi i britisk litteratur, 1840-1870

    DEFF Research Database (Denmark)

    Damkjær, Maria

    2017-01-01

    -1866), combined with a new historicist reading of Victorian advice literature, this article argues that narrative marginalisation was paradoxically a viable strategy for showing an otherwise invisible temporality. In the background, peeping out whenever the plot interrupts, is an enduring and ongoing time......, mediated by unnamed and underrepresented servants, that gives the middle-class home temporal depth and realism....

  8. Õpetatud Eesti Selts 1988-1991 : [Ülevaade koosolekutest] / Tiit Rosenberg, Maris Pruuli

    Index Scriptorium Estoniae

    Rosenberg, Tiit, 1946-

    1995-01-01

    Lisa: Õpetatud Eesti Seltsi taasasutamise ürik : [26 apr. 1988]. Allakirjutanute hulgas Paul Ariste, Eduard Laugaste, Leo Metsar, Aino Põldmäe, Harald Peep, Juhan Peegel, Imbi Pelkonen, Heno Sarv, Arne Merilai, Margus Kasterpalu, Heli Laanekask, Eva Aaver, Paul Hagu, Hando Runnel

  9. Effects of respiratory rate, plateau pressure, and positive end-expiratory pressure on PaO2 oscillations after saline lavage.

    Science.gov (United States)

    Baumgardner, James E; Markstaller, Klaus; Pfeiffer, Birgit; Doebrich, Marcus; Otto, Cynthia M

    2002-12-15

    One of the proposed mechanisms of ventilator-associated lung injury is cyclic recruitment of atelectasis. Collapse of dependent lung regions with every breath should lead to large oscillations in PaO2 as shunt varies throughout the respiratory cycle. We placed a fluorescence-quenching PO2 probe in the brachiocephalic artery of six anesthetized rabbits after saline lavage. Using pressure-controlled ventilation with oxygen, ventilator settings were varied in random order over three levels of positive end-expiratory pressure (PEEP), respiratory rate (RR), and plateau pressure minus PEEP (Delta). Dependence of the amplitude of PaO2 oscillations on PEEP, RR, and Delta was modeled by multiple linear regression. Before lavage, arterial PO2 oscillations varied from 3 to 22 mm Hg. After lavage, arterial PO2 oscillations varied from 5 to 439 mm Hg. Response surfaces showed markedly nonlinear dependence of amplitude on PEEP, RR, and Delta. The large PaO2 oscillations observed provide evidence for cyclic recruitment in this model of lung injury. The important effect of RR on the magnitude of PaO2 oscillations suggests that the static behavior of atelectasis cannot be accurately extrapolated to predict dynamic behavior at realistic breathing frequencies.

  10. Associations between positive end-expiratory pressure and outcome of patients without ARDS at onset of ventilation: a systematic review and meta-analysis of randomized controlled trials

    NARCIS (Netherlands)

    Serpa Neto, Ary; Filho, Roberto Rabello; Cherpanath, Thomas; Determann, Rogier; Dongelmans, Dave A.; Paulus, Frederique; Tuinman, Pieter Roel; Pelosi, Paolo; de Abreu, Marcelo Gama; Schultz, Marcus J.

    2016-01-01

    The aim of this investigation was to compare ventilation at different levels of positive end-expiratory pressure (PEEP) with regard to clinical important outcomes of intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) at onset of ventilation. Meta-analysis of

  11. Multifilm kui tõsine asi / Marko Mägi

    Index Scriptorium Estoniae

    Mägi, Marko

    1998-01-01

    Esilinastus 6 animafilmi : "Vares ja hiired", autorid Priit Tender ja Mikk Rand; "Just märried", autor Peep Pedmanson; "Päevavalgus", autor Mait Laas; "Tom ja Fluffy", režissöörid Janno Põldma ja Heiki Ernits; "Bermuda", autor Ülo Pikkov; "Primavera", režissöörid Riho Unt ja Hardi Volmer

  12. Eesti animafilme igale maitsele / Sulev Teinemaa

    Index Scriptorium Estoniae

    Teinemaa, Sulev, 1947-

    1998-01-01

    Esilinastus 6 animafilmi : "Vares ja hiired", autorid Priit Tender ja Mikk Rand; "Just märried", autor Peep Pedmanson; "Päevavalgus", autor Mait Laas; "Tom ja Fluffy", režissöörid Janno Põldma ja Heiki Ernits; "Bermuda", autor Ülo Pikkov; "Primavera", režissöörid Riho Unt ja Hardi Volmer

  13. Kuus uut Eesti filmi korraga ekraanil / Tarmo Teder

    Index Scriptorium Estoniae

    Teder, Tarmo

    1998-01-01

    21. mail esilinastuvad kinos Sõprus 'Just märried', rezh. Peep Pedmanson; 'Päevavalgus', rezh. Mait Laas; 'Primavera', rezh. Riho Unt ja Hardi Volmer; 'Vares ja hiired', rezh. Priit Tender ja Mikk Rand; 'Bermuda', rezh. Ülo Pikkov; 'Tom ja Fluffy', rezh. Janno Põldma ja Heiki Ernits

  14. Aimdusi tsivilisatsioonist / Tarmo Teder

    Index Scriptorium Estoniae

    Teder, Tarmo, 1958-

    1998-01-01

    Esilinastus 6 animafilmi : "Vares ja hiired", autorid Priit Tender ja Mikk Rand; "Just märried", autor Peep Pedmanson; "Päevavalgus", autor Mait Laas; "Tom ja Fluffy", režissöörid Janno Põldma ja Heiki Ernits; "Bermuda", autor Ülo Pikkov; "Primavera", režissöörid Riho Unt ja Hardi Volmer

  15. Animaalselt ja humaanselt / Karlo Funk

    Index Scriptorium Estoniae

    Funk, Karlo, 1971-

    1998-01-01

    Esilinastus 6 animafilmi : "Vares ja hiired", autorid Priit Tender ja Mikk Rand; "Just märried", autor Peep Pedmanson; "Päevavalgus", autor Mait Laas; "Tom ja Fluffy", režissöörid Janno Põldma ja Heiki Ernits; "Bermuda", autor Ülo Pikkov; "Primavera", režissöörid Riho Unt ja Hardi Volmer

  16. Raudna põhikooli spordihoone Heimtalis = Sports facility at Raudna Basic School in Heimtali / Margit Mutso

    Index Scriptorium Estoniae

    Mutso, Margit, 1966-

    2009-01-01

    Heimtali mõisa ringtalli müüride vahele rajatud spordihoonest, žürii hinnang ehitisele, mille arhitekt Peep Jänes pälvis arhitektuuri sihtkapitali aastapreemia 2008. Muinsuskaitse eritingimused koostas Anu Kulbach, sisearhitektid Signe ja Gildardas Stokas, peaprojekteerija K & H

  17. Austraallased huvituvad ETV toodangust / Karin Leemet

    Index Scriptorium Estoniae

    Leemet, Karin

    2000-01-01

    ETV saadet "Simson Seakülast" näidatakse peagi Austraalia telekanalil The Special Broadcasting Service. 1995. a. valminud kunstisaade on eesti skulptorist Aivar Simsonist, saate autorid Mariina Mälk, Peeter Brambat, operaator Peep Laansalu. Mari Sobolev A. Simsoni töödest

  18. Kunstigaleriist pART on võimalik tellida näitust tutvustavaid loenguid / Ülle Lätte

    Index Scriptorium Estoniae

    Lätte, Ülle, 1955-

    2008-01-01

    Kunstigalerii pART näitusel "Nad rõõmustavad meid" eksponeeritakse Põltsamaalt pärit kunstnike Tiit Pääsukese, Peeter Alliku, Toivo Raidmetsa, Viive Väljaotsa, Mare Tralla, Ave Nahkuri, Peep Pedmansoni loomingut

  19. The effects of intraoperative lung protective ventilation with positive end-expiratory pressure on blood loss during hepatic resection surgery: A secondary analysis of data from a published randomised control trial (IMPROVE).

    Science.gov (United States)

    Neuschwander, Arthur; Futier, Emmanuel; Jaber, Samir; Pereira, Bruno; Eurin, Mathilde; Marret, Emmanuel; Szymkewicz, Olga; Beaussier, Marc; Paugam-Burtz, Catherine

    2016-04-01

    During high-risk abdominal surgery the use of a multi-faceted lung protective ventilation strategy composed of low tidal volumes, positive end-expiratory pressure (PEEP) and recruitment manoeuvres, has been shown to improve clinical outcomes. It has been speculated, however, that mechanical ventilation using PEEP might increase intraoperative bleeding during liver resection. To study the impact of mechanical ventilation with PEEP on bleeding during hepatectomy. Post-hoc analysis of a randomised controlled trial. Seven French university teaching hospitals from January 2011 to August 2012. Patients scheduled for liver resection surgery. In the Intraoperative Protective Ventilation trial, patients scheduled for major abdominal surgery were randomly assigned to mechanical ventilation using low tidal volume, PEEP between 6 and 8  cmH2O and recruitment manoeuvres (lung protective ventilation strategy) or higher tidal volume, zero PEEP and no recruitment manoeuvres (non-protective ventilation strategy). The primary endpoint was intraoperative blood loss volume. A total of 79 (19.8%) patients underwent liver resections (41 in the lung protective and 38 in the non-protective group). The median (interquartile range) amount of intraoperative blood loss was 500 (200 to 800)  ml and 275 (125 to 800)  ml in the non-protective and lung protective ventilation groups, respectively (P = 0.47). Fourteen (35.0%) and eight (21.5%) patients were transfused in the non-protective and lung protective groups, respectively (P = 0.17), without a statistically significant difference in the median (interquartile range) number of red blood cells units transfused [2.5 (2 to 4) units and 3 (2 to 6) units in the two groups, respectively; P = 0.54]. During hepatic surgery, mechanical ventilation using PEEP within a multi-faceted lung protective strategy was not associated with increased bleeding compared with non-protective ventilation using zero PEEP. The current study was not

  20. Do we deliver the pressures we intend to when using a T-piece resuscitator?

    Directory of Open Access Journals (Sweden)

    Evelien Roegholt

    Full Text Available BACKGROUND: A T-piece resuscitator (TPR uses a built-in manometer to set the inflation pressures, but we are not informed what pressures are actually delivered distally. Aim of this study was to measure the proximal and distal pressures under different gas conditions when using a TPR. METHODOLOGY/FINDINGS: A test lung was ventilated using a TPR (PIP 25 cmH₂O, PEEP 5 cmH₂O with a gas flow rate of 8 L/min. A Pressure delivered by six different TPRs was tested. To test variability 20 participants were asked to set PEEP and PIP pressures to 25/5 cmH₂O. B PIP and PEEP were measured proximal and distal of the TPR when using standard tubing or heated tubing with or without a humidifier. In experiment A mean (SD proximal PIP and PEEP of the TPRs were respectively 20.3 (0.3 cmH₂O (19.9-20.6 cmH₂O and 4.9 (0.1 cmH₂O. When 20 participants set pressures; PIP 26.7 (0.5 cm H₂O and PEEP 5.9 (0.44 cmH2O were measured. Experiment B showed that the decrease of PIP between proximal and distal pressures was not clinically significant. However there was a significant decrease of PEEP using the standard tubing (5.1 (0.1 cmH₂O proximally versus 4.8 (0.2 cmH₂O distally; p<0.001 compared to, when using a humidifier with associated tubing and the humidifier turned on, 5.1 (0.1 proximally versus 3.9 (0.2 cmH₂O distally; (p<0.001. CONCLUSION/SIGNIFICANCE: The accuracy of the built-in manometer of a TPR is acceptable. Most pressures set proximally are comparable to the actual pressures delivered distally. However, when using tubing associated with the humidifier PEEP decreases distally by 1.1-1.2 cmH₂O and users should anticipate on this.

  1. Association between driving pressure and development of postoperative pulmonary complications in patients undergoing mechanical ventilation for general anaesthesia: a meta-analysis of individual patient data.

    Science.gov (United States)

    Neto, Ary Serpa; Hemmes, Sabrine N T; Barbas, Carmen S V; Beiderlinden, Martin; Fernandez-Bustamante, Ana; Futier, Emmanuel; Gajic, Ognjen; El-Tahan, Mohamed R; Ghamdi, Abdulmohsin A Al; Günay, Ersin; Jaber, Samir; Kokulu, Serdar; Kozian, Alf; Licker, Marc; Lin, Wen-Qian; Maslow, Andrew D; Memtsoudis, Stavros G; Reis Miranda, Dinis; Moine, Pierre; Ng, Thomas; Paparella, Domenico; Ranieri, V Marco; Scavonetto, Federica; Schilling, Thomas; Selmo, Gabriele; Severgnini, Paolo; Sprung, Juraj; Sundar, Sugantha; Talmor, Daniel; Treschan, Tanja; Unzueta, Carmen; Weingarten, Toby N; Wolthuis, Esther K; Wrigge, Hermann; Amato, Marcelo B P; Costa, Eduardo L V; de Abreu, Marcelo Gama; Pelosi, Paolo; Schultz, Marcus J

    2016-04-01

    Protective mechanical ventilation strategies using low tidal volume or high levels of positive end-expiratory pressure (PEEP) improve outcomes for patients who have had surgery. The role of the driving pressure, which is the difference between the plateau pressure and the level of positive end-expiratory pressure is not known. We investigated the association of tidal volume, the level of PEEP, and driving pressure during intraoperative ventilation with the development of postoperative pulmonary complications. We did a meta-analysis of individual patient data from randomised controlled trials of protective ventilation during general anesthaesia for surgery published up to July 30, 2015. The main outcome was development of postoperative pulmonary complications (postoperative lung injury, pulmonary infection, or barotrauma). We included data from 17 randomised controlled trials, including 2250 patients. Multivariate analysis suggested that driving pressure was associated with the development of postoperative pulmonary complications (odds ratio [OR] for one unit increase of driving pressure 1·16, 95% CI 1·13-1·19; pprotective ventilation on development of pulmonary complications (p=0·027). In two studies that compared low with high PEEP during low tidal volume ventilation, an increase in the level of PEEP that resulted in an increase in driving pressure was associated with more postoperative pulmonary complications (OR 3·11, 95% CI 1·39-6·96; p=0·006). In patients having surgery, intraoperative high driving pressure and changes in the level of PEEP that result in an increase of driving pressure are associated with more postoperative pulmonary complications. However, a randomised controlled trial comparing ventilation based on driving pressure with usual care is needed to confirm these findings. None. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Physiologic effects of alveolar recruitment and inspiratory pauses during moderately-high-frequency ventilation delivered by a conventional ventilator in a severe lung injury model.

    Directory of Open Access Journals (Sweden)

    Ricardo Luiz Cordioli

    Full Text Available To investigate whether performing alveolar recruitment or adding inspiratory pauses could promote physiologic benefits (VT during moderately-high-frequency positive pressure ventilation (MHFPPV delivered by a conventional ventilator in a porcine model of severe acute respiratory distress syndrome (ARDS.Prospective experimental laboratory study with eight pigs. Induction of acute lung injury with sequential pulmonary lavages and injurious ventilation was initially performed. Then, animals were ventilated on a conventional mechanical ventilator with a respiratory rate (RR = 60 breaths/minute and PEEP titrated according to ARDS Network table. The first two steps consisted of a randomized order of inspiratory pauses of 10 and 30% of inspiratory time. In final step, we removed the inspiratory pause and titrated PEEP, after lung recruitment, with the aid of electrical impedance tomography. At each step, PaCO2 was allowed to stabilize between 57-63 mmHg for 30 minutes.The step with RR of 60 after lung recruitment had the highest PEEP when compared with all other steps (17 [16,19] vs 14 [10, 17]cmH2O, but had lower driving pressures (13 [13,11] vs 16 [14, 17]cmH2O, higher P/F ratios (212 [191,243] vs 141 [105, 184] mmHg, lower shunt (23 [20, 23] vs 32 [27, 49]%, lower dead space ventilation (10 [0, 15] vs 30 [20, 37]%, and a more homogeneous alveolar ventilation distribution. There were no detrimental effects in terms of lung mechanics, hemodynamics, or gas exchange. Neither the addition of inspiratory pauses or the alveolar recruitment maneuver followed by decremental PEEP titration resulted in further reductions in VT.During MHFPPV set with RR of 60 bpm delivered by a conventional ventilator in severe ARDS swine model, neither the inspiratory pauses or PEEP titration after recruitment maneuver allowed reduction of VT significantly, however the last strategy decreased driving pressures and improved both shunt and dead space.

  3. Effects of positive end-expiratory pressure on intraoperative core temperature in patients undergoing posterior spine surgery: prospective randomised trial.

    Science.gov (United States)

    Seo, Hyungseok; Do Son, Je; Lee, Hyung-Chul; Oh, Hyung-Min; Jung, Chul-Woo; Park, Hee-Pyoung

    2018-03-01

    Objective Positive end-expiratory pressure (PEEP) causes carotid baroreceptor unloading, which leads to thermoregulatory peripheral vasoconstriction. However, the effects of PEEP on intraoperative thermoregulation in the prone position remain unknown. Methods Thirty-seven patients undergoing spine surgery in the prone position were assigned at random to receive either 10 cmH 2 O PEEP (Group P) or no PEEP (Group Z). The primary endpoint was core temperature 180 minutes after intubation. Secondary endpoints were delta core temperature (difference in core temperature between 180 minutes and immediately after tracheal intubation), incidence of intraoperative hypothermia (core temperature of peripheral vasoconstriction-related data. Results The median [interquartile range] core temperature 180 minutes after intubation was 36.1°C [35.9°C-36.2°C] and 36.0°C [35.9°C-36.4°C] in Groups Z and P, respectively. The delta core temperature and incidences of intraoperative hypothermia and peripheral vasoconstriction were not significantly different between the two groups. The peripheral vasoconstriction threshold (36.2°C±0.5°C vs. 36.7°C±0.6°C) was lower and the onset of peripheral vasoconstriction (66 [60-129] vs. 38 [28-70] minutes) was slower in Group Z than in Group P. Conclusions Intraoperative PEEP did not reduce the core temperature decrease in the prone position, although it resulted in an earlier onset and higher threshold of peripheral vasoconstriction.

  4. Mechanical ventilation strategies for intensive care unit patients without acute lung injury or acute respiratory distress syndrome: a systematic review and network meta-analysis.

    Science.gov (United States)

    Guo, Lei; Wang, Weiwei; Zhao, Nana; Guo, Libo; Chi, Chunjie; Hou, Wei; Wu, Anqi; Tong, Hongshuang; Wang, Yue; Wang, Changsong; Li, Enyou

    2016-07-22

    It has been shown that the application of a lung-protective mechanical ventilation strategy can improve the prognosis of patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). However, the optimal mechanical ventilation strategy for intensive care unit (ICU) patients without ALI or ARDS is uncertain. Therefore, we performed a network meta-analysis to identify the optimal mechanical ventilation strategy for these patients. We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, EMBASE, MEDLINE, CINAHL, and Web of Science for studies published up to July 2015 in which pulmonary compliance or the partial pressure of arterial oxygen/fraction of inspired oxygen (PaO2/FIO2) ratio was assessed in ICU patients without ALI or ARDS, who received mechanical ventilation via different strategies. The data for study characteristics, methods, and outcomes were extracted. We assessed the studies for eligibility, extracted the data, pooled the data, and used a Bayesian fixed-effects model to combine direct comparisons with indirect evidence. Seventeen randomized controlled trials including a total of 575 patients who received one of six ventilation strategies were included for network meta-analysis. Among ICU patients without ALI or ARDS, strategy C (lower tidal volume (VT) + higher positive end-expiratory pressure (PEEP)) resulted in the highest PaO2/FIO2 ratio; strategy B (higher VT + lower PEEP) was associated with the highest pulmonary compliance; strategy A (lower VT + lower PEEP) was associated with a shorter length of ICU stay; and strategy D (lower VT + zero end-expiratory pressure (ZEEP)) was associated with the lowest PaO2/FiO2 ratio and pulmonary compliance. For ICU patients without ALI or ARDS, strategy C (lower VT + higher PEEP) was associated with the highest PaO2/FiO2 ratio. Strategy B (higher VT + lower PEEP) was superior to the other strategies in improving pulmonary

  5. Within-breath arterial PO2 oscillations in an experimental model of acute respiratory distress syndrome.

    Science.gov (United States)

    Williams, E M; Viale, J P; Hamilton, R M; McPeak, H; Sutton, L; Hahn, C E

    2000-09-01

    Tidal ventilation causes within-breath oscillations in alveolar oxygen concentration, with an amplitude which depends on the prevailing ventilator settings. These alveolar oxygen oscillations are transmitted to arterial oxygen tension, PaO2, but with an amplitude which now depends upon the magnitude of venous admixture or true shunt, QS/QT. We investigated the effect of positive end-expiratory pressure (PEEP) on the amplitude of the PaO2 oscillations, using an atelectasis model of shunt. Blood PaO2 was measured on-line with an intravascular PaO2 sensor, which had a 2-4 s response time (10-90%). The magnitude of the time-varying PaO2 oscillation was titrated against applied PEEP while tidal volume, respiratory rate and inspired oxygen concentration were kept constant. The amplitude of the PaO2 oscillation, delta PaO2, and the mean PaO2 value varied with the level of PEEP applied. At zero PEEP, both the amplitude and the mean were at their lowest values. As PEEP was increased to 1.5 kPa, both delta PaO2 and the mean PaO2 increased to a maximum. Thereafter, the mean PaO2 increased but delta PaO2 decreased. Clear oscillations of PaO2 were seen even at the lowest mean PaO2, 9.5 kPa. Conventional respiratory models of venous admixture predict that these PaO2 oscillations will be reduced by the steep part of the oxyhaemoglobin dissociation curve if a constant pulmonary shunt exists throughout the whole respiratory cycle. The facts that the PaO2 oscillations occurred at all mean PaO2 values and that their amplitude increased with increasing PEEP suggest that QS/QT, in the atelectasis model, varies between end-expiration and end-inspiration, having a much lower value during inspiration than during expiration.

  6. Avaliação da função pulmonar de recém-nascidos com síndrome do desconforto respiratório em diferentes pressões finais expiratórias positivas Assessment of pulmonary function of preterm newborn infants with respiratory distress syndrome at different positive end expiratory pressure levels

    Directory of Open Access Journals (Sweden)

    Luiz C.T. Consolo

    2002-09-01

    Full Text Available RESUMO\tABSTRACT \t Objetivo: verificar as alterações da função pulmonar: complacência dinâmica (Cdyn, volume corrente inspiratório (V Tinsp, pressão arterial de dióxido de carbono (PaCO2, em recém-nascidos pré-termo com síndrome do desconforto respiratório. Pacientes e Métodos: estudo de caso controle, incluindo 11 pré-termos com idade gestacional Objective: to verify the alterations of pulmonary function in preterm newborn infants with respiratory distress syndrome (RDS. The parameters analyzed were Dynamic Compliance (Cdyn, Inspiratory Tidal Volume (TVinsp, partial arterial pressure of carbon dioxide (PaCO2. Methods: eleven preterm newborn infants, with gestational age < 35 weeks, and birth weight < 2.500 g, were include in a control case study. All infants presented RDS and were treated with 120 mg/Kg of porcine surfactant. The initial positive end expiratory pressure (PEEP was 3 cm H2O. A pneumotachograph with a graphical monitor was used to assess the pulmonary function. After each increase in the PEEP (4 and 6 cm H2O, there was an interval of 20 minutes before measuring the arterial data of pulmonary function and arterial gases. Results: there were three males and eight females (1:2,7 among the infants with RDS. The mean gestational age was 30.78. 2.05 weeks, ranging from 26 to 34 weeks. The increase in the PEEP from 3 to 6 cm H2O caused significant decrease in the TVinsp (6.46 ±3.43 to 4.20 ±2.35, P=0.0262. With the increase in the PEEP from 4 to 6 cm H2O, there was also a decrease in the TVinsp (5.98.± 3.33 to 4.20.± 2.35, (P=0.0044. Regarding the Cdyn, when there was an increase in the PEEP from 3 to 6 cm H2O, the reduction was statistically significant (0.58.± 0.27 to 0.46± 0.25, P=0.0408 and from 4 to 6 cm H2O, the reduction in the Cdyn was also important (0.77± 0.27 to 0.46± 0.25, (P=0.0164. Increases in the PEEP from 4 to 6 cm H2O caused increases in the PaCO2 (52.81± 15.49 to 64.90± 12.69, (P= 0,0141. A

  7. Lung-Protective Ventilation Strategies for Relief from Ventilator-Associated Lung Injury in Patients Undergoing Craniotomy: A Bicenter Randomized, Parallel, and Controlled Trial

    Directory of Open Access Journals (Sweden)

    Chaoliang Tang

    2017-01-01

    Full Text Available Current evidence indicates that conventional mechanical ventilation often leads to lung inflammatory response and oxidative stress, while lung-protective ventilation (LPV minimizes the risk of ventilator-associated lung injury (VALI. This study evaluated the effects of LPV on relief of pulmonary injury, inflammatory response, and oxidative stress among patients undergoing craniotomy. Sixty patients undergoing craniotomy received either conventional mechanical (12 mL/kg tidal volume [VT] and 0 cm H2O positive end-expiratory pressure [PEEP]; CV group or protective lung (6 mL/kg VT and 10 cm H2O PEEP; PV group ventilation. Hemodynamic variables, lung function indexes, and inflammatory and oxidative stress markers were assessed. The PV group exhibited greater dynamic lung compliance and lower respiratory index than the CV group during surgery (P0.05. Patients receiving LPV during craniotomy exhibited low perioperative inflammatory response, oxidative stress, and VALI.

  8. Common-path Fourier domain optical coherence tomography of irradiated human skin and ventilated isolated rabbit lungs

    Science.gov (United States)

    Popp, A.; Wendel, M.; Knels, L.; Knuschke, P.; Mehner, M.; Koch, T.; Boller, D.; Koch, P.; Koch, E.

    2005-08-01

    A compact common path Fourier domain optical coherence tomography (FD-OCT) system based on a broadband superluminescence diode is used for biomedical imaging. The epidermal thickening of human skin after exposure to ultraviolet radiation is measured to proof the feasibility of FD-OCT for future substitution of invasive biopsies in a long term study on natural UV skin protection. The FD-OCT system is also used for imaging lung parenchyma. FD-OCT images of a formalin fixated lung show the same alveolar structure as scanning electron microscopy images. In the ventilated and blood-free perfused isolated rabbit lung FD-OCT is used for real-time cross-sectional image capture of alveolar mechanics throughout tidal ventilation. The alveolar mechanics changing from alternating recruitment-derecruitment at zero positive end-expiratory pressure (PEEP) to persistent recruitment after applying a PEEP of 5 cm H2O is observed in the OCT images.

  9. [Lung protective ventilation. Ventilatory modes and ventilator parameters].

    Science.gov (United States)

    Schädler, Dirk; Weiler, Norbert

    2008-06-01

    Mechanical ventilation has a considerable potential for injuring the lung tissue. Therefore, attention has to be paid to the proper choice of ventilatory mode and settings to secure lung-protective ventilation whenever possible. Such ventilator strategy should account for low tidal volume ventilation (6 ml/kg PBW), limited plateau pressure (30 to 35 cm H2O) and positive end-expiratory pressure (PEEP). It is unclear whether pressure controlled or volume controlled ventilation with square flow profile is beneficial. The adjustment of inspiration and expiration time should consider the actual breathing mechanics and anticipate the generation of intrinsic PEEP. Ventilatory modes with the possibility of supporting spontaneous breathing should be used as soon as possible.

  10. Evaluation of right and left ventricular function during adult respiratory distress syndrom using radionuclide angiocardiography conventional and tomographic approaches

    International Nuclear Information System (INIS)

    Devaux, J.Y.; Dhainaut, J.F.; Roucayrol, J.C.; Brunol, J.

    1982-01-01

    Despite numerous experimental and clinical studies, the cardiovascular effects of mechanical ventilation with positive-end-expiratory pressure (PEEP) are unclear. Specially, the constant fall in cardiac output is not well undestood. The purpose of this study was to investigate the effects of PEEP on right and left ventricular systolic and diastolic performance before and after volume expansion using angioscintigraphy with red blood cells, in vitro labelled with 99m Tc, a reliable, non invasive method to assess right and left ventricular dimensions and global and segmental contractility. First results in patients with adult respiratory distress syndrom (ARDS) confirm the capabilities of such a method for evaluation of regional wall motion in both ventricles

  11. Application of the Novel Ventilation Mode FLow-Controlled EXpiration (FLEX): A Crossover Proof-of-Principle Study in Lung-Healthy Patients.

    Science.gov (United States)

    Wirth, Steffen; Springer, Sebastian; Spaeth, Johannes; Borgmann, Silke; Goebel, Ulrich; Schumann, Stefan

    2017-10-01

    Traditionally, mechanical ventilation is achieved via active lung inflation during inspiration and passive lung emptying during expiration. By contrast, the novel FLEX (FLow-controlled EXpiration) ventilator mode actively decreases the rate of lung emptying. We investigated whether FLEX can be used during intraoperative mechanical ventilation of lung-healthy patients. In 30 adult patients scheduled for neurosurgical procedures, we studied respiratory system mechanics, regional ventilation, oxygenation, and hemodynamics during ventilation with and without FLEX at positive end-expiratory pressure (PEEP) of 5 and 7 cm H2O. The FLEX system was integrated into the expiratory limb and modified the expiratory flow profile by continuously changing expiratory resistance according to a computer-controlled algorithm. Mean airway pressure increased with PEEP by 1.9 cm H2O and with FLEX by 1 cm H2O (all P ventilated during general anesthesia. FLEX improves the homogeneous distribution of ventilation in the lungs.

  12. Influencia del reclutamiento alveolar sobre los efectos del surfactante exógeno Influence of pulmonary recruitment on exogenous surfactant effects

    Directory of Open Access Journals (Sweden)

    Néstor R. Herrera

    2006-02-01

    Full Text Available Se investigaron los efectos producidos por una maniobra de insuflación sostenida previa a la administración de surfactante exógeno y los producidos por diferentes patrones ventilatorios sobre la respuesta al mismo. Se estudiaron 20 ratas albinas adultas a las que se les produjo una injuria pulmonar por repetidos lavados con solución fisiológica. Se evaluó el pH, PaO2, PaCO2, la presión arterial sistólica, la compliance toracopulmonar y la histología. Los animales se dividieron en 2 grupos según se les hubiera aplicado o no insuflación sostenida para evaluar el efecto inmediato de la misma. Posteriormente los grupos citados fueron subdivididos en función de la capacidad residual funcional (CRF aplicada, quedando conformados 4 grupos experimentales. El grupo 1 recibió previo al surfactante una insuflación sostenida de 30 cm H2O durante 15 segundos y se ventiló posteriormente con presión al final de la espiración (PEEP de10 cm H2O. El grupo 2, no recibió insuflación sostenida y se ventiló con PEEP 10 cm H2O. El grupo 3, recibió insuflación sostenida y se ventiló con PEEP 4 cm H2O y el grupo 4, sin insuflación sostenida se ventiló con PEEP 4 cm H2O. Los efectos inmediatos del surfactante no fueron modificados por la aplicación previa de insuflación sostenida. Se verificó durante el transcurso de la experiencia un aumento de la PaO2 asociada al aumento de la capacidad residual funcional (Grupo1 p=0.0001; Grupo2 p= 0.0001, e independiente de la insuflación sostenida. El uso de insuflación sostenida previo a la administración de surfactante sumado a la ventilación con capacidad residual funcional alta se asoció con infiltración de polimorfonucleares debajo del epitelio bronquiolar (p = 0.008. Nuestros resultados no avalan el uso de insuflación sostenida previo a la administración de surfactante exógeno.An experimental modelwas devised to study the effects of a sustained insufflation maneuver on the immediate

  13. Rahvusooperi Estonia teatrihoone publikuruumide restaureerimistöödest / Liivi Künnapu

    Index Scriptorium Estoniae

    Künnapu, Liivi, 1953-

    2006-01-01

    Arhitektuuriajalooline ülevaade. 2005. a. restaureerimistöödest: garderoob-vestibüülist, peatrepist, ringfuajeedest, teatri- ja Valgest saalist, keldrikorruse ruumidest. Muinsuskaitse eritingimused, järelevalve: Liivi Künnapu. Projekteerijad: Peep Jänes, Indrek Suigussaar, AB Kolde Grupp. Sisekujundus: Juta Lember, Aulo Padar. Teostus: Koger ja Partnerid, projektijuht Indrek Võeras. Laemaali (E. Okas, E. Kits, R. Sagrits) restaureerimine, uuringud: KAR-Grupp. Akustik: Linda Madalik. Bibliogr. lk. 25. 8 vaadet

  14. Coherent Change Detection with COSMO SkyMed Data-experimental Results

    OpenAIRE

    A. Mishra; D. Chaudhuri; C. Bhattacharya; Y.S. Rao

    2013-01-01

    Change detection is a technique in which we try to find changes between two acquisitions. These acquisitions can be from different platforms and sensors. Acquisition from satellite using synthetic aperture radar (SAR) is of immense interest to military applications. Satellite has the ability to peep into the enemy territory while SAR has the capability of day and night operations, being an active sensor. Coherent change detection (CCD) can be used to detect minute changes between two images. ...

  15. Ground water in Delhi area, problems and prospects under fast urbanisation- a nuclear aided study

    International Nuclear Information System (INIS)

    Mookerjee, P.; Datta, P.S.; Chandrasekharan, H.; Tyagi, S.K.; Singh, R.V.

    1994-01-01

    The work presented in this paper constitutes a peep into the components of urbanization in the two decades which affected the quality and availability of ground water in the Delhi territory. The recharge studies conducted in Delhi villages employing oxygen 18 and tritium tagging have been described with a view to focus attention on the sustainability of the ground water potential. 1 fig., 1 tab

  16. Estimation of lung volume and pulmonary blood volume from radioisotopic images

    International Nuclear Information System (INIS)

    Kanazawa, Minoru

    1989-01-01

    Lung volume and pulmonary blood volume in man were estimated from the radioisotopic image using single photon emission computed tomography (SPECT). Six healthy volunteers were studied in a supine position with normal and altered lung volumes by applying continuous negative body-surface pressure (CNP) and by positive end-expiratory pressure (PEEP). 99m Tc labeled human serum albumin was administered as an aerosol to image the lungs. The CNP caused the diaphragm to be lowered and it increased the mean lung tissue volume obtained by SPECT from 3.09±0.49 l for baseline to 3.67±0.62 l for 10 cmH 2 O (p 2 O (p 2 O), respectively. The PEEP also increased the lung tissue volume to 3.68±0.68 l for 10 cmH 2 O as compared with the baseline (p 2 O PEEP. The lung tissue volume obtained by SPECT showed a positive correlation with functional residual capacity measured by the He dilution method (r=0.91, p 99m Tc-labeled red blood cells. The L/H ratio decreased after either the CNP or PEEP, suggesting a decrease in the blood volume per unit lung volume. However, it was suggested that the total pulmonary blood volume increased slightly either on the CNP (+7.4% for 10 cmH 2 O, p 2 O,p<0.05) when we extrapolated the L/H ratio to the whole lungs by multiplying the lung tissue volume obtained by SPECT. We concluded that SPECT could offer access to the estimation of lung volume and pulmonary blood volume in vivo. (author)

  17. Летняя кухня - функционально и красиво / Тийна Кольк

    Index Scriptorium Estoniae

    Кольк, Тийна

    2010-01-01

    Valik arhitektuurikonkursile "Väike 2007-2009" esitatud väikeobjektidest. Korvamäe suveköök (Urmas Muru, Peeter Pere, Reet Viigipuu, Karl Õiger), Mähe puhkemaja väliköök (Emil Urbel, Indrek Erm), aiamaja Pelgulinnas (Madis Eek), Suurupi aiapaviljon (Peep Roosmann), Tabasalu vaskeramu grillikoht (Urmas Muru, Peeter Pere, Anna-Maria Erik, Ago Kuddu)

  18. Grillipaviljon, väliköök, varjualune... / Tiina Kolk

    Index Scriptorium Estoniae

    Kolk, Tiina

    2010-01-01

    Tutvustatakse valikut arhitektuurikonkursile "Väike 2007-2009" esitatud õueobjektidest. Suurupi aiapaviljon (Peep Roosmann), aiamaja Pelgulinnas (Madis Eek), Mähe puhkemaja väliköök (Emil Urbel, Indrek Erm), Korvamäe suveköök (Urmas Muru, Peeter Pere, Reet Viigipuu, Karl Õiger), Tabasalu vaskeramu grillikoht (Urmas Muru, Peeter Pere, Anna-Maria Erik, Ago Kuddu)

  19. Ventilator-driven xenon ventilation studies

    International Nuclear Information System (INIS)

    Chilcoat, R.T.; Thomas, F.D.; Gerson, J.I.

    1984-01-01

    A modification of a common commercial Xe-133 ventilation device is described for mechanically assisted ventilation imaging. The patient's standard ventilator serves as the power source controlling the ventilatory rate and volume during the xenon study, but the gases in the two systems are not intermixed. This avoids contamination of the ventilator with radioactive xenon. Supplemental oxygen and positive end-expiratory pressure (PEEP) are provided if needed. The system can be converted quickly for conventional studies with spontaneous respiration

  20. Mitogen-activated protein kinase phosphatase-1 modulates regional effects of injurious mechanical ventilation in rodent lungs.

    Science.gov (United States)

    Park, Moo Suk; He, Qianbin; Edwards, Michael G; Sergew, Amen; Riches, David W H; Albert, Richard K; Douglas, Ivor S

    2012-07-01

    Mechanical ventilation induces heterogeneous lung injury by mitogen-activated protein kinase (MAPK) and nuclear factor-κB. Mechanisms regulating regional injury and protective effects of prone positioning are unclear. To determine the key regulators of the lung regional protective effects of prone positioning in rodent lungs exposed to injurious ventilation. Adult rats were ventilated with high (18 ml/kg, positive end-expiratory pressure [PEEP] 0) or low Vt (6 ml/kg; PEEP 3 cm H(2)O; 3 h) in supine or prone position. Dorsal-caudal lung mRNA was analyzed by microarray and MAPK phosphatases (MKP)-1 quantitative polymerase chain reaction. MKP-1(-/-) or wild-type mice were ventilated with very high (24 ml/kg; PEEP 0) or low Vt (6-7 ml/kg; PEEP 3 cm H(2)O). The MKP-1 regulator PG490-88 (MRx-108; 0.75 mg/kg) or phosphate-buffered saline was administered preventilation. Injury was assessed by lung mechanics, bronchioalveolar lavage cell counts, protein content, and lung injury scoring. Immunoblotting for MKP-1, and IκBα and cytokine ELISAs were performed on lung lysates. Prone positioning was protective against injurious ventilation in rats. Expression profiling demonstrated MKP-1 20-fold higher in rats ventilated prone rather than supine and regional reduction in p38 and c-jun N-terminal kinase activation. MKP-1(-/-) mice experienced amplified injury. PG490-88 improved static lung compliance and injury scores, reduced bronchioalveolar lavage cell counts and cytokine levels, and induced MKP-1 and IκBα. Injurious ventilation induces MAPK in an MKP-1-dependent fashion. Prone positioning is protective and induces MKP-1. PG490-88 induced MKP-1 and was protective against high Vt in a nuclear factor-κB-dependent manner. MKP-1 is a potential target for modulating regional effects of injurious ventilation.